Recipient Shipping Information

Welcome!

Your agency has partnered with Bridge the Journey to provide curated support boxes as part of your journey.

This form collects your shipping details so we can send your support box directly to you. Your information will be used only for shipping purposes and will not be shared or stored beyond fulfillment.

Please complete the fields below, if you have any special delivery instructions, you can include them in the notes section.

Agency

(Which agency are you working with?)

Name

First Name

Last Name

Shipping Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Delivery Notes

(gate code, apt. buzzer, safe drop instructions?)

CONSENT & ACKNOWLEDGMENT

I consent to Bridge the Journey using my information solely for shipping curated support boxes. I understand that Bridge the Journey is not a medical provider and the contents of the box are not medical treatment. All items are for comfort and wellness support only, and I am responsible for reviewing ingredients or product instructions before use. Bridge the Journey is not liable for any allergic reactions, sensitives, or misuse of products. Shipping times may vary, and while Bridge the Journey will make every effort to ensure timely delivery, I acknowledge that delays outside of Bridge the Journey's control (e.g., carrier issues) are possible.