Community Closet
La Crosse Area Family Y
Donor or Shopper
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Looking to schedule a visit to the closet (Shopper)
Looking to make a donation (Donor)
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Shopper
Referred By
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Please Select
YMCA Staff
Community Organization
School District
Flyer
Other (Please Enter Below)
Enter Other Here (Optional)
Referred by (Y staff, CHW)
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First Name
Last Name
Name of recipient
*
First Name
Last Name
Recipient Phone Number (If none, Enter 000-0000)
*
Please enter a valid phone number.
Format: (000) 000-0000.
Recipient Email (If None, Enter N/A)
*
example@example.com
What are you in need of?
How many are you shopping for?
Urgent?
Yes
No
Anything else we should know?
Enter as much information as possible.
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Donation
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
What are you interested in donating? (Please limit to clothing/shoes/hygiene items)
*
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