WaCASA Shoe Drive Donation Form!
Problems filling out this form? Email Corie Dow at corie@wacasa.org.
First Name *
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Last Name *
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Your Address *
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City *
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State *
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Zip *
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Best phone number to reach you *
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Email *
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Shoe Characteristics *
Required
Value of shoes
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I wish to remain anonymous
Donation Method
Anything else you'd like us to know?
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