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DaxBox Request Form:

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Name
Address of DaxBox location
If requesting replacement toys, please mention which toys need replacing. (IE, Air Planes, Dino Cars, Big Rig Trucks, Cars and Trucks)
Click or drag files to this area to upload.You can upload up to 3 files.
If you want to, show us where your DaxBox will be placed! Already have a DaxBox?… upload any visual feedback about DaxBox here too!
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The Dax Pact is a Registered Tax-deductible 501(c)3 Non-profit Foundation. EIN # 92-4012773
The Dax Pact is willing to work with any Company Match / Employer Matching Gift Program