Shoes for Orphan Souls: Packing Form

Please complete this form for each box of shoes you are shipping. Print the form and place in each box.

* Required Fields

For cash donations, please make checks payable to Buckner.	NAME:*
	EMAIL:*
	ORGANIZATION NAME:
	ADDRESS:
	CITY:
PRINT ONE COPY OF FORM FOR EACH BOX	STATE:
TOTAL # OF BOXES	ZIP:
	CONTACT PHONE NUMBER:
DESCRIPTION	QUANTITY	VALUE
NUMBER OF SHOES:
NUMBER OF SOCKS:
NUMBER OF SHOELACES:
UNDIES:

TOTAL CASH DONATIONS:
CASH ENCLOSED?:		Yes \|\| No
TOTAL VALUE OF DONATION:
How will you be shipping the donation?
When will you be shipping the donation (to estimate arrival)?
Ship all packages to: Shoes for Orphan Souls Buckner Center for Humanitarian Aid 5405 Shoe Drive Mesquite, TX 75149		Additional Donated items or Comments:

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Shoes for Orphan Souls, a ministry of Buckner International, provides new shoes and socks to orphans and at-risk children in the United States and throughout the world. From conducting shoe drives to humanitarian aid trips, Shoes for Orphan Souls offers hands-on opportunities to individuals, groups and organizations that want to transform lives through social ministry. Since 1999, more than 1.5 million pairs of new shoes and socks have been distributed to 55 countries. Buckner is a fully accredited non-profit organization with IRS 501(c)(3) status. Your gifts to Buckner are tax-deductible as allowed by the IRS

Shoes for Orphan Souls, a ministry of Buckner, is a member of the Evangelical Council for Financial Accountability.