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Apply Here

Unfortunately, do to lack of funding, we are unable to process application requests at this time.  Please check back. 

We are happy to pay it forward to others. The approval and acceptance of applications is dependent on fund availability.
 

If you are unable to open the application, please email us at info@payitforwardwithjackie.org and one will be mailed to you.

Please mail completed application to:

Pay it Forward with Jackie

PO Box 1951

West Babylon, NY 11704
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