Partner Agency Shopping Service

Save my progress and resume later | Resume a previously saved form

Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Your Email:

A Password:

Confirm Password:

Your Agency's Name

Point of Contact

Tell us about the agency staff person or volunteer who is in charge of this request. This person is who we would call to discuss details of the visit if needed.

First Name

Last Name

Email Address

Contact Number

Women

About how many women will you be shopping for?

Men

About how many men will you be shopping for?

Children (2-16 years of age)

About how many children will you be shopping for?

Infants (birth-2 years of age)

About how many infants will you be shopping for?

Do you need to shop for specific items for your clients?

For example, list specific items such as "coats," "women's shoes," "men's casual business attire," "school uniforms," "outerwear."

Household Items

Do you need to shop for household items for your clients? For example, list specific items such as “kitchenware”, “dishes”, “linens” etc.

In general, are these clients housed or homeless?

We will do our best to pull requested items for your shopping visit; however, please note that

inventory varies and we may not have all items in stock at all times.

When you click the See Available Appointments button below, the above data will be captured, and you'll see open appointments for the next few weeks. Select an appointment time, and receive a confirmation email.

Save my progress and resume later | Resume a previously saved form

Contact Information