Name
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First Name
Last Name
Email
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Phone
(###)
###
####
Where are you located?
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Subject
Shopping for yourself or a client?
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Myself
A Client
If for a client, how many people do you need a bag for?
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1
2
3
4
More than 5
If available, which organization are you with?
*
Optimal completion date? *On average a standard request can take up to two weeks depending on current in-house inventory.
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MM
DD
YYYY
Client's preferred pronoun
*
Age range of client (s)
*
Style preference (casual, business attire, feminine, sporty, etc)
*
Please indicate the items that you need
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Coat
Shirt
Pants/Slacks
Jeans
Shoes
Sneakers
Socks
Toiletries; hygiene products, toothpaste, toothbrush
Feminine hygiene products
Hats, gloves, scarfs
Baby clothing (Please indicate age/size)
Children's Clothing (Please indicate age/size)
Please provide the shirt sizes for the recipients; if for a baby or child please provide their age and gender
*
Please provide the pants sizes for all the recipients; if for a baby or child please provide their age and gender
*
Please provide the shoe size for all the recipients; if for a baby or child please provide their age and gender.
*
How did you hear about us?
Message
*