Test post 3
By resodev - August 22, 2024
Test post 3
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Name
*
First
Last
ZIP Code
*
ZIP / Postal Code
Email
*
Phone
Receive Gifts
I live in Pinellas County (FL) and would like to receive free birthday gifts by mail for my baby through age three.
Address
*
Street Address
Address Line 2
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Armed Forces Americas
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State
ZIP Code
My Baby's Birth Month
*
January
February
March
April
May
June
July
August
September
October
November
December
My Baby's Birth Year
*
Consent
*
I give permission for the Juvenile Welfare Board of Pinellas County (FL) to email me information and/or mail gifts for my baby.
*
Name
*
First
Last
Organization/Affiliation
*
Email
*
Phone
*
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Comments/Questions
I’m a partner in Pinellas County (FL) and would like to learn more about becoming a campaign champion, including how to receive free materials for families.
I’m a partner outside of Pinellas County (FL) and would like to learn more about the Turbo Babies campaign.
Consent
*
I give permission for the Juvenile Welfare Board of Pinellas County (FL) to email me information.
*