Tree of Joy

Only use this form to request help from the Salvation Army in getting gifts for your family.

Go to the Donor Page if you wish to purchase gifts for needy families

Salvation Army Bend Corps Christmas Assistance Application

Application Information (Informacion del Solicitante)

Last Name (Apellido)

First Name (Nombre)

DOB (Fecha de nacimiento) DD/MM/YYYY

Spouse Last Name (Apellido Esposo)

Spouse First Name (Nombre Esposo)

DOB MM/DD/YYYY

Address (Dirección)

Apartment/Unit # (Apartamento #)

City (Ciudad)

Zip Code (Codigo Postal)

Home Phone: (Teléfono de la Casa)

Cell Phone: (Teléfono de la Casa)

Income, Address and I.D. verification for Salvation Army personnel only

Income

Verified

Address

Verified

I.D.

Verified

How Many in Family? (Numero total en la familia)

How many children for gifts? (required)

Child's Name 1. (Nombres)

DOB (Fecha de nacimiento ) MM/DD/YY

Sex (Sexo)

Age (Edad de los Niños)

Suggested Gifts (Regalos sugeridos límite de cuatro artículos) LIMIT 4 items include size if need

Child's Name # 2.

DOB MM/DD/YY

Sex (Sexo)

Age MM/DD/YY

Suggested Gifts (Regalos sugeridos límite de cuatro artículos) LIMIT 4 items include size if need

Child's Name 3.

DOB MM/DD/YY

Sex

Age

Suggested Gifts (Regalos sugeridos límite de cuatro artículos) LIMIT 4 items include size if need

Child's Name 4.

DOB MM/DD/YY

Sex (Sexo)

Age

Suggested Gifts (Regalos sugeridos límite de cuatro artículos) LIMIT 4 items include size if need

Child's Name 5.

DOB

Sex

Age

Suggested Gifts

Would you like the Holiday Dinner for your family?

YES

Assistance Application Form