Project: Hollywood Cares







Packages for Forward Deployed Military Personnel Request Form
Presently Support Boxes are being sent to frontline troops positioned in the “combat operations areas” of Afghanistan and Iraq where the need is the greatest.

Verify Request/Additional Information:

	Recipient Of Request NOTE: All fields are required.

	First Name

	Last Name

	Male/Female

	Rank/Rate:

	Branch of Service

	E-mail


	Address 1

	Address 2

	FPO /APO #
(Specify FPO Or APO In Address)

	T-Shirt Size

	Person Making Request NOTE: If NOT Military Recipient NOTE: All fields are required.

	First Name

	Last Name

	Relationship

	EMail


	Surprise?(Y/N)

Important
Military address information is confidential.
Project: Hollywood Cares does not share this information with any other parties.

TV/Music/Movies Preference and Favorites:

Project: Hollywood Cares is a 501 (c) (3) nonprofit corporation comprised of volunteers. All donations are tax deductible under applicable law.