Shoebox Appeal Delivery Note

Contact Information

Group Name*
Country
State / Province*
Address
City
Email*
Confirm Email*
Phone
Shoebox Total*

    

Payment

Payment should be sent direct to Link to Hope. 
Go to our Online Payment page 

The TOTAL money sent should be exactly double the number of shoeboxes.

Total amount sent to Link to Hope £*
If so, how many

Security Code