Name * First Name Last Name Email * Phone * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Items for Donation * Please separate items with a comma and space (for example: sofa, bedroom dresser, etc.) Can we text you? * We may text you confirmation information for pickup scheduling, etc. YES NO Questions and Comments: Include any special notes, (for example: Moving and need pickup by next Friday, etc.) Thank you! Pickup Donation Form
