Agency Coat Request

Congratulations on being selected to receive NEW winter coats through the Auto Dealers CARing for Kids Foundation’s annual Driving Away the Cold program!

Please use the form below to tell us how you would like those coats to be divided by size. Please note: coats are packed 6 per box, and each box is mixed-gender. When you have completed your request, please verify that the number of coats and boxes matches what Jenn Jackson has communicated you will be receiving.

"*" indicates required fields

Non-Profit Name*

EIN/Tax ID*

Contact Name*

First Last

Email*

Phone*

If you have been partnered with a specific dealership/dealer group, please enter their name below:

Coat Request

Please enter the number of coats you are requesting for each size. Remember, coats are packed 6 per box, so please choose a multiple of 6.

5/6

7/8

10/12

14/16

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Total Coats Requested

Please check that this matches your coat allotment.

Total Boxes

This should be a whole number. If it is not, please check that you have requested all sizes in multiples of 6.