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Home
About
Beneficiaries
Events
NextGen
Partners
Contact
Shop
Nominate A Beneficiary
Know someone who needs assistance? Nominate a friend, family member, neighbor, co worker. We will consider every request!
Address
800 West Cummings Park
Suite 3700
Woburn, MA 01801
Nominate A Beneficiary
Page
1
of 8
About You
Your Name
First
Last
Your Email
*
Your Phone Number
*
NEXT
Beneficiary Name
First
Last
Beneficiary Phone Number
Beneficiary E-Mail
Beneficiary Address
BACK
NEXT
Explain in as much detail the incident that occured:
When did the incident occur?
BACK
NEXT
Please explain why you would like to nominate this family?
BACK
NEXT
Please provide any additional information about the individual or family:
BACK
NEXT
Please provide links to any news articles or videos of the incident: (not required)
Has a fundraising page been established? If yes, provide the link.
BACK
NEXT
Upload A Picture Of Beneficiary For Campaign (Not Required) :
BACK
NEXT
Please type the characters
*
This helps us prevent spam, thank you.
BACK
SUBMIT
This field should be left blank
Nominate A Beneficiary
Page
1
of 8
About You
Your Name
First
Last
Your Email
*
Your Phone Number
*
NEXT
Beneficiary Name
First
Last
Beneficiary Phone Number
Beneficiary E-Mail
Beneficiary Address
BACK
NEXT
Explain in as much detail the incident that occured:
When did the incident occur?
BACK
NEXT
Please explain why you would like to nominate this family?
BACK
NEXT
Please provide any additional information about the individual or family:
BACK
NEXT
Please provide links to any news articles or videos of the incident: (not required)
Has a fundraising page been established? If yes, provide the link.
BACK
NEXT
Upload A Picture Of Beneficiary For Campaign (Not Required) :
BACK
NEXT
Please type the characters
*
This helps us prevent spam, thank you.
BACK
SUBMIT
This field should be left blank
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