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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.

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We value your privacy and will not share your personal information.

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Please confirm your email address. We want to make sure we can respond to your request.

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Make-A-Wish® Mississippi
576 Highland Colony Parkway
Suite 120
Ridgeland, MS 39157
(601) 366-9474
Toll Free (800) 819-4072
Make-A-Wish® Mississippi, Southern Region - Gulfport
P. O. Box 7488
Gulfport, MS 39506
(228) 575-8691
Emergency Cellular (601) 214-3472