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EMPOWERING
FAMILIES

Apply for Assistance

Do you know a family or are you in need of our help? Please complete this gift request. There is a $500 maximum and a copy of the bills or invoices must be submitted with the request.

You can upload up to 2 different PDF bills you would like Blaze of Hope's assistance with. If you have trouble using this form or have different file formats you can email your bills to blazeofhopesrq@gmail.com

Upload File
Upload File
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