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To donate goods or products to the Miracles for Kids Box of Miracles, please complete the form below.

Please ship or deliver all items to the Miracles for Kids office:
3002 Dow Avenue, Suite 126
Tustin, CA 92780
ATTN: Box of Miracles

If you have any questions, please contact Jonathan Birt, Development Manager, at jbirt @miraclesforkids.org or call (714) 290-9530.

Thank you for your support of Miracles for Kids! Your in kind donation allows us to do more for critically-ill children and families in need.

Box of Miracles Item Donation Form

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

MSRP of Single Product:*

Product Category:*

Product Website:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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*Please note: In kind refers to donations of goods or services instead of cash. According to IRS regulations, establishing a dollar value on the donated item(s) is the exclusive responsibility of the donor.

Box of Miracles Item Donation Form

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