Underwear Request Form

We are so excited to help you provide new underwear to people in need!

Please fill out the form below to request underwear for your organization. We will do our best to fulfill your request in a timely manner.

Thank you for your support!

Organization Underwear Request Form

Organization Name(*)

Organization Website(*)

Social Media

Instagram

Facebook

TikTok

Youtube

Twitter

Primary Contact Person

First Name(*)

Last Name(*)

Title/Role(*)

Mailing Address(*)

City(*)

State(*)

Zip Code(*)

Country(*)

Your Email(*)

Phone(*)

Fax

Organization Information

What year was the organization started?(*)

How will receiving underwear further your mission?(*)

Mission Statement(*)

On average how many individuals do you serve monthly and yearly?(*)

What are the demographics of the people you serve for a calendar year?

Percentages of Please enter number only, not % sign.

Females

Males

Transgenders

Undisclosed

Sheltered

Unsheltered

Below poverty level

Age Range

Children 0-14 years
Youth 15-24
Adults 25-64
Seniors 65 years and over
All of the Above

Geographical Location:

Urban
Rural
Both

Do you support special programs for Veterans?

Where are the people you serve located?

May The Undie Chest and The Bra Recyclers have permission to include your organization's name and logo in the following manner, but not limited to: a blog, social media post, and printed and digital press releases, to announce our partnership to provide underwear to your program?(*)

May we put a link to your organization website on The Undie Chest and/or The Bra Recyclers website?(*)

Will you be willing to list us as a partner or sponsor?(*)

Will you give The Undie Chest and The Bra Recyclers permission to use your logo, images, videos, and testimonials to share that we provide support to you in the form of underwear?(*)

Are you willing to participate in our annual survey to assist us in understanding your social and environmental impact on the community?(*)

Do you agree to use the underwear sent from The Undie Chest or The Bra Recyclers to support the participants of your program only and agree not to resell items donated?(*)

Do you agree to cover the $20 shipping cost? (*)

Approval Signature

Executive Director/Administrator Signature(*)

Date of Approval(*)