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Contact DCA - Holiday Shopping Gift Card Request Form

Note: * indicates required fields.

Please complete this form to receive in the mail the NYC Department of Consumer Affairs pocket-size consumer "gift card" highlighting important holiday shopping tips.

Please note: These tips reflect New York City local law and are intended to help consumers shopping in New York City.

*Name:
*Address 1:
Address 2:	(e.g., apartment, floor, suite)
*City:
*State:
*Zip Code:
*Email Address:
*Quantity Requested:

Please enter the letters you see in the graphic below (required): (letters are not case-sensitive)
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