Redeeming Soles
Shoe Request Form
Organization Name
Your answer
Contact Name
Your answer
Contact Phone Number
Your answer
Contact E-mail
Your answer
Briefly Describe your Clientele (i.e. Adult Men, Young Women, Children, etc.)
Your answer
What is your Method of Distribution? (i.e. clothing closet, outreach etc.)
Your answer
How Many Requests do You Get for Shoes Each Month?
Your answer
.

Thank you for submitting this form. Your organization will be placed on our distribution list and we will contact you with questions or when we have product available for you.

By submitting this form you are agreeing that upon receiving shoes you will not sell them for any reason and they will be fairly distributed by your organization.

Please feel free to follow up with any questions by e-mail at info@redeemingsoles.org

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