Rebecca's Closet Request Form | United Way of Marathon County

Please allow at minimum 1 week for orders to be processed. A Rebecca’s Closet representative will call you once your order is available for pickup.

Todays Date:

Agency or Individual's Name

Agency or Individual's Contact Name:

Preferred Phone Number:

Email Address:

Items Needed (Please be specific). Clothing: Please include gender, size, season and types of items - volunteers MUST have sizes to fill orders. If requesting for multiple children, please include first names to aid in sorting/packaging. Other: Bedding, blankets, diapers, stroller, etc. We DO NOT offer: toys, cribs, bottles, food or car seats.

Child's Information

Child's First Name:

Child's Age:

Gender:

Male

Female

Child's Clothing Size (In numbers)

Do you need shoes for the child?

Yes

No

Child's shoe size

Child's Clothing needs:

Do you have another child?

Yes

No

Child's Information

Child's First Name:

Child's Age:

Gender:

Male

Female

Child's Clothing Size (In numbers)

Do you need shoes for the child?

Yes

No

Child's shoe size

Child's Clothing needs:

Do you have another child?

Yes

No

Child's Information

Child's First Name:

Child's Age:

Gender:

Male

Female

Child's Clothing Size (In numbers)

Do you need shoes for the child?

Yes

No

Child's shoe size

Child's Clothing needs:

Do you have another child?

Yes

No

Child's Information

Child's First Name:

Child's Age:

Gender:

Male

Female

Child's Clothing Size (In numbers)

Do you need shoes for the child?

Yes

No

Child's shoe size

Child's Clothing needs:

Do you have another child?

Yes

No

Child's Information

Child's First Name:

Child's Age:

Gender:

Male

Female

Child's Clothing Size (In numbers)

Do you need shoes for the child?

Yes

No

Child's shoe size

Child's Clothing needs:

A Rebecca’s Closet representative will select items from our available stock and will call you once your order is available for no-contact pick up. **Anything requested that cannot be fulfilled is noted on the sheet included with your fulfilled order.

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