Clothes Assistance Request Form Personal Information: Full Name Contact Number Email Address Address for Delivery/Pickup: Street Address City State Post Code Number of People Needing Clothes: Adults Enter here..1234 Children Enter here..1234Type of Clothes Needed: Casual Clothes (e.g., T-shirts, jeans)Winter Clothes (e.g., jackets, sweaters)Other Other Sizes Needed: Adults Enter here..SmallMediumLargeExtra LargeAdditional Comments or Special Requests: Message here Additional Comments or Special Requests: I confirm that the information provided is accurate and I am requesting assistance with clothes from RSASDS. Signature (or Type Name) Date
