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Please complete the form below to send a request or a referral to your local Goodwill office.

Goodwill services are usually funded by a third party funding stream, however, private funding is also available. If you are interested in any of our services and need information on how to obtain funding, we suggest you contact one of these local providers:

Office of Mental Health Office of Mental Retardation
Office of Vocational Rehabilitation Local school districts (youth programs)
The fields marked with an asterisk (*) are required.
Region:
Harrisburg Lancaster Reading
First Name*:
Last Name*:
Address*:
City*:
State*:
Zip*:
County*:
Phone Number*:
Email:
Best time of day to contact:
Reason for referral:
Name or person making a referral*:
Relationship to person making referral:
Question or Request here:

 

 
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