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Care package program

CARE PACKAGES ARE OPEN TO ANYONE IN THE US! Nominate a friend or a loved one with epilepsy! Include YOUR info in the first top three boxes. Put the nominees first & last name, and age in the box below. Then provide their address. Be aware due to our care package inventory constantly changing the nominee may not get one as pictured below- ether way it will be filled with something your nominee will LOVE! 

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IN THE EVENT YOU DONATED FOR A CARE PACKAGE AND ARE NOT FROM THE USA IT WILL NOT BE REFUNDED, AS DONATIONS ARE NON REFUNDABLE AND CANNOT BE SENT! SORRY FOR THE INCONVENIENCE! 

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We have a suggested donation of 15 dollars to cover shipping & product expenses. You will be redirected after you fill out the form to our donation page. it is not mandatory, but we are a small non-profit, and we are grateful for any donation! You may also, Scan the QR CODE TO DONATE if the link is not working.
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NOMINATE YOUR LOVED ONE BELOW!

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PLEASE PROVIDE NOMINEES ADDRESS BELOW. CARE PACKAGES ARE ONLY SENT TO THOSE LIVING IN THE USA! ANY CARE PACKAGE NOMINATION FROM OUTSIDE THE USA CAN NOT BE SENT. Sorry for the inconvenience.

How did you hear about our care package program?
I UNDERSTAND, THAT IF I DONATE FOR A CARE PACKAGE DONATIONS ARE NON REFUNDABLE.
I consent to our care package being used in promotional materials included but not limited to brochures, flyers, posters, newsletters, social media, & websites.Educational materials included but not limited to presentations, workshops, training materials.

IN THE EVENT YOU DONATED FOR A CARE PACKAGE AND ARE NOT FROM THE USA IT WILL NOT BE REFUNDED, (AS DONATIONS ARE NON REFUNDABLE) AND CANNOT BE SENT.

CARE PACKAGES SENT OUT!

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