Care Package Request Form
You may complete this form and mail it to PO Box 6838, Rock Island, IL 61204, submit it through our website at closet2closet.org, or email it to info@closet2closet.org. Contents of packages are subject to inventory availability. It may take up to 10 days for packages to be delivered or be picked up. We generally serve children ages 9-adult and as such, we stock sizes youth 8/medium-14/XL and all juniors/adult sizes.
INFORMATION ABOUT YOU
Name
Your answer
Age
Your answer
Grade/Year In School
Your answer
Gender
Your answer
Shoe Size
Your answer
Pant Size
Your answer
Top Size
Check One
If available, would you like us to included hygiene items such as deodorant, shampoo, or body wash in the care package? *
MORE INFORMATION ABOUT YOU
Who's the best person to contact to help get your care package delivered? (It can be you.)
Your answer
What agency, organization or school do they work for?
Your answer
Their Phone
Your answer
Your Email (If available.)
Your answer
Your phone (If available.)
Your answer
Address 1
Your answer
Address 2
Your answer
City
Your answer
State/Province
Your answer
Country
Your answer
Other Comments or Special Instructions
Your answer
OPTIONAL BUT HELPFUL INFORMATION
The questions that follow are optional, but we appreciate the requester responding to them, if possible. If this information is not known, we are still able to provide a care package with size/gender information completed on page 1.

We’d like to try to provide wardrobes that fit your personality and style. We do our best to individualize care package contents, so it helps if the requester provides some details for us. Please tell us as much as possible!

Your Favorite Colors
Your answer
Your Favorite Sports Team
Your answer
Your Current School
Your answer
Is there anything we should NOT include in the care package?
Your answer
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This form was created inside of Augustana College.