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Request a Visit From Santa
(Fields in green are required.)
Name:
Company / Organization:
Event Type:
Family Home Visit
Neighborhood Family Visits
Large Family Gathering
Company Party with Children
Company Party with No Children
Community Event
School Visit 1-3 Classes
School Visit - All Grades
Business/Store Promotion
Other
Address:
City:
State:
NC
AL
AK
AZ
AR
BC
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NA
NE
NV
NH
NJ
NM
NY
NC
ND
OH
ON
OK
OR
PA
PQ
RI
SC
SD
SK
TN
TX
UT
VT
VA
WA
DC
WV
WI
WY
Zip:
E-mail Address:
Day Telephone:
Evening Telephone:
Date of Visit:
Time requested:
morning
afternoon
evening
Expected number of children attending:
Expected number of adults attending:
Comments: