During the Holiday season our organization works closely with the Atlantic County Sheriff's Department, Atlantic County Special Services, and the Atlantic County Marine Toys for Tots Coordinator to provide toys for children ages Infant to 12. (Toy requests for children over age 12 who have developmental disabilities will be evaluated on an individual basis.) All toys requests will be cross referenced with the above agencies. Deadline for holiday toy requests is November 30th.

If your organization has any other type of request, you may also use this form.

In order for any request to be considered, all of the below questions must be answered.

Name of Organization making the request:

 

Organization Tax I.D. Number:

 

Are you registered with Atlantic County?     

Are you registered with the State of NJ?     

Contact Person's Name:

Organization Address:

Organization Phone Number:

Organization E-mail:

Organization's Request:

(Names & ages must be included. All information submitted will be kept confidential.)

 

Form page donated by Beth Epstein, www.MsClickIT.com

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