Nominate a Walker

By nominating a walker, you're championing our mission.
We're counting on you to nominate a man who you'd like to see slip on a pair!

Complete the form below and the individual you nominated will automatically receive an invite to participate in Walk A Mile In Her Shoes. Don't think we have his size? Don't worry. We have every size to accommodate even the biggest feet. 

Note: Please review 'Nominee' and 'Nominator' fields carefully when completing. 
* Required Field
User Type: *
Title:
Nominee First Name: *   
Nominee Last Name: *
Nominee E-mail: *
Confirm nominee e-mail: *  
Nominator Name:
Address Type:
Country: *
Nominator Address: *
City: *
Province / State: *  
Postal Code / ZIP: *  
Phone Type:
Phone:      Phone Extension:
Nominator e-mail: *
What is your custom message to the Nominee? (Please include your name) Example: "Hi! It's Jane Doe and I think you'd look great in a pair of heels!": *