Jake’s CareBox Form
Alternative clothing and accessories for those who don’t have the access, but deserve to express themselves
Email *
What is your name? *
What is your shipping address? *
How would receiving this box support you or your self-expression right now? *
Whats your unisex shirt size? *
Whats your pant size in inches? *
What kind of alternative music do you like? *
Your address and personal info are only for this care box. Email lets us share future care box updates and other fun stuff
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report