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Application
If you know and love a widow, fill out the application below to nominate them to receive some love from all of us at A Widow’s Wish.
Application
Your Name
*
First
Last
Your Phone Number
*
Your Email
*
Your Relation to Widow
*
Widow's Name
*
First
Last
Widow's Hometown
*
Widow's Birthday
*
Date Format: MM slash DD slash YYYY
Widow's Age
Lifelong Wish You're Hoping to Grant to This Widow
*
Biography of Widow
*
Tell us about them, their family/living situation, and how they became a widow
Phone
This field is for validation purposes and should be left unchanged.
PleaseĀ let us know if you any additional questions! We’re here to help you.
Contact Us
Home
About
Wishes
Contact Us
Nominate a Widow