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Working Families' Friend

assistance for working families in Kansas City

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Referral Form

Community Counselors must be preapproved. Please enter your contact information below to access the referral form.

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Raffle Tickets

Tickets are $10 each. The drawing will be held the night of the event on 1/30/26 (need not be present to win). After purchasing below, your ticket(s) will automatically be entered in the drawing.

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Raffle Ticket Quantity(Required)

Price: $10.00

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Total

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Payment Method(Required)

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Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

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Referral Form

Community Counselors must be preapproved. Preapproved counselors must login with their name and contact information to access the referral form.

[contact-form-7 id="740" title="Referral Form"]

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1021 Pennsylvania

Kansas City, MO 64105

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