Gear Assistance Form
Fill out this form and provide a link of the gear you were needing. This form is for any gear requests through Montana Queer Alliance and costs and shipping will be covered by Montana Queer Alliance.
Name
Last name is optional
Shipping Address (if you would like it to be shipped to MQA and have us contact you when it arrives, please leave this blank):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Order/s
*
Link to gear that is being requested
Notes:
*
Use this space to tell us the size or a couple sizes if you unsure of your fit or if you had any other specific requests. We want to work with everyone's request as best as possible.
Email
example@example.com
Phone Number
Please enter a valid phone number.
Would you like a call, text, or email response?
*
Call
Text
Email
Enter the message as it's shown
*
Submit Form
Should be Empty: