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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.


To refer a child  directly to our local chapter, or for questions about our referral process, please contact:

Denise Mansour
Director of Wish Granting
Phone: 603-792-3021

Make-A-Wish® New Hampshire
814 Elm Street
Suite 300
Manchester, NH 03101-2230
(603) 623-9474