Client Referral Forms

If you or someone you know is in need of our services, please fill out the form below and we will get back to you via phone as soon as possible.

Please note that the referral form has changed since December 2025. If your client is not originally from Montana, and/or Billings, please list their hometown accurately.

The answer does not affect your clients eligibility for services and they will still be served as best as possible. DFS reporting requirements have changed and we need as accurate demographics as possible.

If your client can come to our boutique to shop please complete the first form.

If your client is beyond Yellowstone County and needs clothing shipped to them please complete the second form.

Client Referral Form (Within Yellowstone County)

Client Referral Form (outside Yellowstone County)

Please note we pack and ship once a week. We will do our best to provide you with both your needs and your wants, but due to weight and box restrictions we may not be able to provide everything at once.

Agency Information

Company name

First and Last Name

Phone

Client Referral Form

First name

Last name

Phone

Is the client from Montana?

If yes, where?

If no, what state?

Is the Client Homeless?

Age

Receiving Assistance (i.e. SNAP, WIC, Disability)

Marital Status

Number of Children

Highest Level of Education

Ethnicity

Household Income

Convicted of a Felony?

Served in the Military?

May we post your client on social media?

Would your client like to be referred for a haircut?

Mailing Address

Is this outfit for an interview or employment?

If for employment, what industry are you in?

Preferred Size in Shirt

Preferred Size in Pant

Preferred Size in Shoe

Preferred Dress Size

Preferred Blazer/Cardigan Size

Bra and Underwear Size

Tell us about you (favorite color etc)

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