Donation Pick Up & Drop Off Request Form
Every Item donated will benefit our single parents and forsaken children in our communities. Please, note that we want the best for them, so we ask that no worn or used items be donated to the organization. We thank you in advance for all your support and donations. Tax ID 85-8018271323
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Pick-Up Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Donation type
Furniture
Appliances
Personal Items
Clothing
Hygiene Products
Shoes
Gift Cards
NonPerishable items
Toiletries
Tickets for various parks
Other
Donation Details
Item Description
Quantity
Estimate Amount ($)
1
2
3
4
5
6
7
8
9
10
What is your preferred day for pick-up?
Monday
Tuesday
Wednesday
Thursday
Friday
Any day
Other
What is your preferred time for pick-up?
Hour Minutes
AM
PM
AM/PM Option
Would you like to drop off Items or mail items?
Any questions?
How did you find out about our organization?
Facebook
Twitter
Instagram
YouTube
Online Ads
TV commercial
Google Search
Referral
Other
Submit
Should be Empty: