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* 1. Agency Full Shipping Address
Please complete all contact information.

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* 2. Is your location a residential address?

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* 3. Does your agency support youth in foster care?

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* 4. Please tell us how your past orders of Comfort Cases have impacted the youth that are supported through your agency.

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* 5. ALL AGENCIES ARE REQUIRED TO PAY FOR FULL SHIPPING COSTS:
You can order up to 50 Comfort Cases total at a time. You may place multiple orders per month. Enter the number of sizes needed (Newborn - Adult 2XL) ESTIMATED COST between $120-220 depending on location.

If we do not have the exact size that you are requesting in our inventory, we will automatically apply the closest size to your request.

  Female Comfort Cases Male Comfort Cases
0-3 Months
3 Months
6 Months
9 Months
12 Months
18 Months
2T
3T
4T
5T
6
7
8
10
12
14
16 
AXS (Female) 18/20 (Male)
AS
AM
AL
AXL
A2XL

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* 6. Our Comfort Cases are backpacks filled with brand new items including pajamas, a blanket, stuffed animal, dental kit, toiletries, and socks. Additional age-appropriate items are included in each case.

If we do not have the exact size that you are requesting in our inventory, we will automatically apply the closest size to your request.

How many total cases are you ordering? The form does not automatically total, so please add up your quantities carefully.

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* 7. Comfort XLs:

Our Comfort XL is a large 32-inch duffel bag that folds up very compact and truly replaces the trash bag. UNAVAILABLE AT THIS TIME

**Due to the rising costs of shipping, supplies, and the Comfort XL’s (each about a $75 value,) we are asking our agency partners to cover the full cost of shipping when ordering CXL’s.

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* 8. Payment for FULL Shipping Costs:
Estimating Your Shipping Costs: Each order of 50 Comfort Cases will cost between $120-220 depending on your location in the country. Each box of Comfort XL's will cost about $20-40 per box depending on your location in the country due to the heavier weight.

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