Nominate a Walker

If you still had a Rolodex, this is where we'd ask you to flip through it. Add a buddy's info and we'll encourage them to sign up. 

Complete the form below and your nominee will receive an invite to join Walk A Mile In Her Shoes. We have shoes for every feet and more than enough room on the walk for all your nominees. 

* Required Field
User Type: *
Title:
First Name: *    Middle Name:
Last Name: *
E-mail: *
Confirm e-mail: *  
Organization Name:
Country: *
Address: *
City: *
Province / State: *  
Postal Code / ZIP: *  
Phone:      Phone Extension:
Gender:
Date of Birth:
     
Gender: