www.PillowsforPatriots.org
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"They'll sleep better
so we'll sleep better!"





HELP OUR SOLDIERS AND TROOPS IN COMBAT SLEEP BETTER.  PILLOWS FOR PATRIOTS SENDS MUCH NEEDED PILLOWS TO THE BRAVE MEN AND WOMEN IN OUR MILITARY IN IRAQ AND AFGHANISTAN.

Pillows for Patriots Online Pillow Request Form

We need to know the following information before we actually ship an order.
Please note that pillows are shipped in increments of 25 pillows per box.

We are in need of donations to fulfill the pillows requests.
Please consider a donation so that our combat troops will sleep better. 

Requestor Information:

* Mandatory fields

*Name:          


Address:        
Address:        
City:           
State:          
Zip:            


*Email:         

*Phone:         

Notes or  Additional Information:                 
      

General Information:



Is the unit deployed (or soon to be deployed) in a combat zone
(Afghanistan or Iraq) without access to normal necessities?

 



*US Home Base of Unit being deployed:  

*Approximate dates of deployment:      

*Number of pillows requested:          

Ship To Information:




*Branch of service 
(ie Army, Marines, etc.):        


*Name of person receiving 
shipment(include rate or rank):  

*Deployed Address 1:             

Deployed Address 2:              

*Deployed City:                  

*Deployed State:                 

*Deployed Zip:                   

*Date Needed:                    



Would you be willing to help 
raise donations for this request?: Yes No

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We are in need of donations to fulfill the pillows requests.
Please consider a donation toward this request.



Email: Info@PillowsforPatriots.org      www.PillowsforPatriots.org