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Coat Agency Information

Wish List Submission Form for 2026 Driving Away the Cold Program –

2025 requests have closed, but we welcome you to submit your requests for our 2026 Driving Away the Cold Program!

The purpose of this form is to allow our Foundation to gather updated information on your organization. This will help us as we attempt to find a dealer or distributing agency who can possibly provide new coats directly to your organization. Though our Foundation will work diligently to find these partners in your region, we cannot guarantee any coat donations.

"*" indicates required fields

Address*
Primary County You Serve:*
If you serve a secondary county, please indicate which one below. Check all that apply.*
Contact Name
This field is hidden when viewing the form
Organization Type*
My organization plans to distribute coats to other regional organizations.*
If you selected "Yes" to the above question, please list the organization/s you may distribute coats to:
Name of Organization:
Name of Organization:
Name of Organization:
Name of Organization:
Name of Organization:
Name of Organization:
Name of Organization:
 
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