Clothing Request Form Date Full Name Date of Birth ID Number(last four digits only) ID Type: Health Card Driver's Licence Birth Certificate Passport Other Street Address City Postal Code Phone Number Email Men's Tops: Small Medium Large XL+ Women's Tops: Small Medium Large XL+ Children's Tops: Small Medium Large XL+ Men's Bottoms: Small Medium Large XL+ Women's Bottoms: Small Medium Large XL+ Children's Bottoms: Small Medium Large XL+ Men's Shoes: Women's Shoes: Children's Shoes: Men's Spring/Rain Jacket: Small Medium Large XL+ Women's Spring/Rain Jacket: Small Medium Large XL+ Children's Spring/Rain Jacket: Small Medium Large XL+ Men's Winter Coat: Small Medium Large XL+ Women's Winter Coat: Small Medium Large XL+ Children's Winter Coat: Small Medium Large XL+ Other Items: Notes: Submit Request
