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Referral Inquiry Form

This inquiry form is the first step to receiving a wish – it is not confirmation of eligibility for a wish. Your information will be forwarded and you will be contacted by a member of our wish-granting team.

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Your information

We value your privacy and will not share your personal information.

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Please confirm your email address. We want to make sure we can respond to your request.

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Make-A-Wish® Philadelphia, Northern Delaware & Susquehanna Valley
5 Valley Sq, Suite 210
Blue Bell, PA 19422
(215) 654-9355
Toll Free (877) 663-9474
Make-A-Wish® Philadelphia, Northern Delaware & Susquehanna Valley, Susquehanna Valley Office
1054 New Holland Avenue
Lancaster, PA 17601
(717) 283-4880

Make-A-Wish® Philadelphia, Northern Delaware & Susquehanna Valley, Northern Delaware Office
100 W. 10th Street, Suite 106
Wilmington, DE 19801
(302) 482-4467