EmailMeForm
Organization Staff Member Contact
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First
Last
Organization Name
Email
*
Phone
*
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-
###
-
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Web Site
*
Shipping Street Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Primary Shipping Contact: (if different from primary contact)
First
Last
In what city and state do you serve the homeless?
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Is your organization a 501c3 nonprofit?
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YES
NO
Please share with us what your organization does and how your organization serves those suffering from homelessness and housing instability?
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Who do you provide services for? Please select all that apply.
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Men
Women
Children/Youth
Families
Veterans
Other
Please select the type of socks you’d like to receive. Please check all that apply.
*
Men
Women
Children/Youth
About how many people does your organization serve weekly?
*
About how many people does your organization serve annually?
*
How many pairs of socks do you have adequate storage space for?
Does your organization have any social media accounts? Please select all that apply.
Website
Facebook
Instgram
Twitter
LinkedIn
Other
Do you have any additional comments or requests?
Please note: All of our sock donations are for the purpose of being given to those who are homeless or in need in local communities. They are not designated to be sold.