Request a Granted Wish

 

DO YOU KNOW SOMEONE WHO IS DESERVING OF A GRANTED WISH?

TODAY….You Can Do What God Does Everyday…
And Just Think How That Will Make You Feel…

If you would prefer to mail or fax in your request, or would like to print out the form for another person, please CLICK HERE to access a printable copy. You will need the FREE Adobe Acrobat Reader software to view this file.

Complete The Form Below and Click The Submit Button


All fields marked with an * are required


 
Requester's Information
 
First Name: *
Last Name: *
Address1: *
Address2:
City: *
State: * Zip: *
Phone: - - *
Email: *
Nominee's Information
 
First Name: *
Last Name: *
Address1: *
Address2:
City: *
State: * Zip: *
Phone: - - *
Email: *
 
Wish Information
Please briefly describe the wish you would like to have granted?
50 characters max 		*
Why do you feel this person(s) deserves to have their wish granted? Give all pertinent information.
128 characters max 		*
How did you hear about The Granted Wish Foundation?
If you chose "Other" Describe Here: