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Know someone in need?

H30 is happy to help all neighbors who are truly in need of assistance. Please fill out this quick form to tell us a little bit about your situation and your need. You should hear from us in less than a week.

Your Name:
Your Phone:
Your Email:
Recipient Name:
Recipient Address:
Your relationship to Recipient:
Qualifying Factor:
If "Other", please explain:
Description of candidate & need:
(500 character maximum)