Love Notes Fairy Nomination Form:

Do you know someone who could use a bouquet of Love Notes delivered to their mailbox? Someone who is going through a rough time and needs a little bit of extra love to let them know they aren't alone?

Simply fill out the form below and I will be in touch. Recipients are chosen once a month. Have question? Reach out to me at jennifer@jenniferbelthoff.com

Your Name

First Name

Last Name

Your Email Address

Name of individual who needs a Love Notes Fairy delivery

First Name

Last Name

Address of individual who needs a Love Notes Fairy delivery

How do you know this person?

Information for the Love Notes Fairy's about this person & why they need this delivery? (what you write here is what will be shared)

I have permission to share the Nominees mailing address with the Love Notes Fairy Group?

Yes

No

I understand by nominating someone that I will be added to the Love Notes Fairy List mailing list.

Yes, I understand that I will get the Love Notes Fairys emails.

Love Notes Fairy Nomination

Love Notes Fairy Nomination Form:

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