First Name

Last Name

Email

Organization

Job Title

Phone

City

State / Province AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NF NH NJ NM NS NT NU NV NY OH OK ON OR PA PE QC RI SC SD SK TN TX UT VA VT WA WI WV WY YT

Country United States Canada

Zip

Which best describes your organization? Firefighters Rotary Other (service orgs, faith-based, nonprofits, anyone else)

IAFF Local Number

How Did You Hear About Us? Convention Facebook IAFF Instagram LinkedIn Email Other Referral Operation Warm staff Twitter Internet Search ChurchLeaders.com Firehouse.com

How many children would you like to provide coats to? (Note: our minimum order is 36 coats, requiring a donation of $720) 36-299 300-499 500-999 1000-2499 2500-4999 5000-9999

Do you want a fundraising page? Please select this option only if you need a custom webpage to collect donations.

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