Designate where you would like the wish granted:
Area of greatest need
My local chapter for:
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Designate the type of wish you would like to adopt:
$2,500 Computer, Shopping Spree
$3,000 Celebrity Meeting, Play Structures
$6,000 Disneyland, DisneyWorld
$7,500 Cruises, US Travel
$10,000 International Wishes
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Provide your name and e-mail address so that a Make-A-Wish Gift Officer can contact you to begin:
Name:
Phone number:
E-mail address:
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