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 Complete The Following Enrollment Form
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Do you know someone who is late or about to be late with their mortgage? Do you have a relative or friend that you would like to help? Here's how.

This form provides you an opportunity to Enroll a Family into 5000families.org even though you may not be their direct sponsor. There are many families who cannot afford to pay their budgeted bills, let alone buy things that are not in their budget. Because you care, please enroll them and we will help get them into the program as quickly as possible.

Without the support of our generous sponsors, we're unable to guarantee that a family will get the help they need in the time they need it. To be confident in knowing that the family you're enrolling will get the help they need, we encourage you to sponsor them by making a small donation of only $34.95. Simply click on the“Sponsor A Family” link above. Regardless of the sponsor, please enroll them and thank you for taking the time to care.

First Name *
Last Name *
Email
Spouse First Name
Street Address *
City *
State *
Zip Code *
Phone
2nd Email Address
Comments:

NOTICE: You will be taken to a confirmation page.
If you don't see a receive a confirmation message,
email us at support@5000families.org.

5000 Families
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