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 Safe & Healthy
  

Green & Healthy products are biodegradable, which means they break down easily instead of hanging out in the ground for hundreds of years. And they don't contain any of the ingredients listed below, which are harmful to you
and the planet.


SAFE FOR YOUR FAMILY
- No Naphthalene
- No Kerosene
- No Formaldehyde
- No Phenol
- No Cresol
- No Lye
- No Hydrochloric Acid
- No Sulfuric Acid
- No Petroleum Distillates
- No Benzene
- No Ammonia
- No Paradichlorobenzene
- No Sodium Hydroxide
- No Butyl Cellosolve
- No Hydrochloric Acid

SAFE FOR THE PLANET
- Sustainably sourced natural ingredients
- Biodegradable
- No Chlorine
- No Phosphates
- No Nitrates
- No Borates
- No Animal Testing
  

 Application
  
Apply Now to Receive a Green & Healthy Home Makeover!

Do you know a deserving family who desperately needs a Green & Healthy Home Makeover? Perhaps it's your family? If you would like to nominate your own family or another, then fill out this application and tell us why you deserver a Green & Healthy Home Makeover!

The experience of Molly's Gift could be coming to your neighborhood soon!

THANK YOU AND GOOD LUCK!


* Family Name
* Address
* City
* State/Prov.
* Zip Code/Postal Code
Home Phone
Cell Phone
* Email
Have any members of your household been involved in any type of volunteer or charity work? If yes, please describe it.
In the event that you are selected, will you be able to take the "Get Clean, Stay Clean" pledge. This requires you to remove all dangerous and toxic cleaning products from your home and and keep it "Safe & Healthy" for at least a year.
Yes
No
* Family Story

Please tell us your story. Summarize you CURRENT situation and why you need a Safe & Healthy Home Makeover. Is there anything that makes your situation unique?
* If selected to participate, your image may be used to promote and publicize this program. By clicking below you agree to provide us with a picture of all the old cleaning products removed from your house, piled in front of your door and your family standing behind them. You also certify that all information stated by you on this application form is true.
Yes
No