PLEASE READ CAREFULLY !!!
ARE YOU A SOUTH FLORIDA HIGH SCHOOL STUDENT WHO CANNOT AFFORD A DRESS FOR YOUR MILITARY BALL OR PROM? Please complete the form below to request an appointment. One of our volunteers will call you back soon to schedule your appointment. Our South Florida Becca's Closet storefront is located in the Festival Marketplace and is open by Appointment Only. If you live in SOUTH FLORIDA and are in financial need of a gown, please fill out the form below. IF YOU LIVE IN ANOTHER AREA , return to the homepage, click on Active Chapters to locate a chapter in your area. You MUST be a High School Student who is unable to afford a dress for your prom or military ball. We are unable to donate dresses for pageants or cotillions.
Do you Live in South Florida? If you answered No,Don't submit form, please go to Active Chapter Page!
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Yes
No
Name of High School :
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City :
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County :
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Your First Name :
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Your Last Name :
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Phone # :
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E-Mail address:
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Best Time To Contact You ?
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Date of Your Prom ?
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Additional Comments
IF YOU DON'T LIVE IN SOUTH FLORIDA, DO NOT SUBMIT THIS FORM. Please proceed to the ACTIVE CHAPTER PAGE.
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