Shoebox Appeal Delivery Note

Contact Information

Group Name
Country
State / Province*
Address
City
Email*
Confirm Email*
Phone
Pick-up Total*

    

Payment

Payment should be sent direct to Link to Hope. 
Click here to 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