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Valentine's Day Widow Outreach Project
Nominations | Valentine's 2026
- Nomination Form | Charlotte
- Nomination Form | Pittsburgh
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Valentine's Day Widow Outreach Project Nomination Form

This form is for nominations in Charlotte, North Carolina and the surrounding areas.

Your First Name

Your Last Name

Your Phone Number

Your Email

Nominee First Name

Nominee Last Name

Nominee Phone Number

Delivery Address (We cannot deliver to a P.O. Boxes)

Delivery Address Type

Confirm Delivery State

Confirm Delivery Zip Code

Nomination Preference

Special Delivery Instructions (gated community, gate code, room number or anything we may need to know to help us make a smooth delivery.

Description of your nominee and why you are nominating them

Thanks for submitting!

TIME. TREASURE. TALENT

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