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Families of Fallen Heroes Request Form


Carefully selected gift boxes, programs, and toys and gifts are sent or presented to the surviving spouse and dependents of fallen heroes who have made the ultimate sacrifice while participating in Operation Iraqi or Enduring Freedom.


Important: Military address information is confidential and Project: Hollywood Cares does not share this information with any other parties.

Fallen Hero Information


(All fields are required.)

First Name

Last Name

Rank/Rate:
Branch of Service
Hometown
Location of Loss
Name of Spouse
E-mail 

Address 1

Address 2

City

State
Zip Code
Number of Children
Range of Children's Ages


TV/Music Preference and Favorites:



Person Making Request

(All fields are required.)

First Name

Last Name

Relationship to Family
E-mail 

Address 1

Address 2

City

State
Zip Code


Project: Hollywood Cares is a 501 (c) (3) nonprofit corporation comprised of volunteers. All donations are tax deductible under applicable law.

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