Veteran's Furniture Request

Veteran's Furnishings Request

All information is required to be filled out. (form rev 9/29/23)
Today’s date*

MonthDayYear
Name*

First NameLast Name
Your Phone Number*
What is the ADDRESS YOU ARE MOVING TO? Be accurate, this is where we will deliver your household items to. (For Street Address: Please include "Street", "Boulevard", "Court", "Road", etc.)
ADDRESS MOVING TO*

Street Address

Apartment Number / Street Address (Line 2)

CityState

Zip Code
COUNTY Moving To*
Date Moving*

MonthDayYear
Your Email*
Have you been served by Sofas For Service in the past?*

YesNo
Are you:*

MaleFemale
How many adults in household?*
Children in household?*

NoneBoyGirl
Show number of boys and girls with ages. If none type NONE*
Type of housing you are moving to?*

Apartment 1 Bedroom (Include Apt Number in Address Above)Apartment 2 Bedrooms (Include Apt Number in Address Above)Townhouse or CondoSmall House (1 or 2 Bedrooms)Large House (3 Bedrooms or more)Other
If you checked other above then put type here
Branch of Service (Choose one)*
Service Confirmation
We need proof of military service before we start on your request.
Current Address*

Street Address

Apartment Number / Street Address Line 2

CityState

Zip Code
Current Address*

Street Address

Apartment Number / Street Address Line 2

CityState

Zip Code
Referral source (for example: VA, County Veteran Service office, etc.); if self-referred put in "Myself" and skip next two items.*
Referral source contact name
Referral source phone number
Name someone we can contact if we can’t get ahold of you?
Contact person's phone number.
Are you, the veteran, physically able to help move furniture?*

YesNo
You will need at least two people (include yourself if able) to help unload items once we arrive at your delivery address.
Floor for delivery (select from list)*
Address I am moving to has (select one):

Delivery floor is first floorStairsElevator
We can usually provide everything a veteran and his/her immediate family needs to set up a household. While we try to keep this listing up-to-date our inventory is dependent on donations and fluctuates weekly - if your requested item(s) is not available we will do our best to get you a close substitute from our inventory.

Please make sure you select all items that you want/need. If you don't select something then that means you don't want it.
BEDROOM One set of new bedding & a pillow is included with a bed, sometimes we have clean used sheets so explain below if you need them or more than one bed.*

No Bedroom Items requestedBed - QueenBed – FullBed – TwinNight Stand/End TableDresserAlarm ClockFloor LampTable LampSmall Table Lamp
LIVING ROOM*

No Living Room Items requestedSofaSofa SleeperLove SeatReclinerGlider RockerLift ChairEnd TableTV StandTable LampFloor Lamp
MISCELLANEOUS *

No Miscellaneous Items requestedBroom & Dust PanSnow ShovelLaundry BasketGarbage Can – SmallGarbage Can – MediumGarbage Can – 13 Gallon Kitchen SizeGarbage Can – 32 GallonSpace HeaterFanArea Rug – 8’ x 10’Ironing BoardIronClock – Wall MountWall Art
KITCHEN*

No Kitchen Items requestedKitchen Table – Seats 2-4Kitchen Table – Seats 4-6Kitchen Chairs – 2Kitchen Chairs – 4Bar Stool – No BackBar Stool – With BackMicrowaveMicrowave CartKitchen In A Box (All New Items) Donated by the Eau Claire Elks Lodge #402 - 2 Cooking Pots, Fry Pan, 4 qt Pot, Microwave-Safe Dishes For 4 (Dinner Plates, Salad Plates, Bowls), 4 Glass Kitchen Drinking Glasses, Silverware for 4 (Fork, Knife, Spoon), 5 Glass Food Storage Bowls With Lids, 5 Sharp Knives with Knife Block, Measuring Cups, Measuring Spoons, Utensils (Tongs, Pizza Cutter, Whisk, 2 Turners, 2 Spoons, Slotted Spoon), Manual Can Opener, Cookie Sheet and 9x13 Baking PanToasterBlenderFood ProcessorElectric Hand MixerElectric Kettle – To Heat WaterElectric KnifeElectric Can OpenerMeasuring CupsMeasuring SpoonsRolling PinKitchen Utensils–Flipper, Wooden Spoon, Rubber Spatula, Tongs, Meat Fork, Potato Masher, Cheese Grater, Etc.Colander/StrainerCutting BoardCooling RackDish Drainer RackSilverware Drawer OrganizerSilverware – Set of 6Sharp Kitchen Knives – Set of 6Steak Knives – Set of 4Plastic Food Storage ContainersSalt & Pepper ShakersCoffee Maker – 12 CupCoffee Maker – 4 CupCooking Pots – SmallCooking Pot – MediumCooking Pot - LargeStock Pot – 5 qt or LargerFry Pan – SmallFry Pan – MediumFry Pan - LargeDishes - Set of 4 (Microwave-Safe Plates, Bowls & Coffee Cups)Dishes - Set of 6 (Microwave-Safe Plates, Bowls & Coffee Cups)Dishes – Set of 8 (Microwave-Safe Plates, Bowls & Coffee Cups)Coffee MugsKitchen Drinking Glasses – Set of 6Kitchen Juice Glasses – Set of 4Glass Serving BowlCasserole Dish – SmallCasserole Dish – MediumCasserole Dish – LargeMixing Bowl – SmallMixing Bowl – MediumMixing Bowl – LargeCake Pan/Baking Dish 9x13Cake Pan/Baking Dish 8x8Cookie Sheet/Baking PanMuffin TinPie Tin/PlateLoaf PanCrock PotCrock Pot – SmallGeorge ForemanToaster OvenWaffle IronWaffle Iron - SmallDeep FryerElectric Skillet/Frying Pan
Explanations and/or additional information.
After you submit the form you will receive a copy of your request in your email.

If you would like to visit our Altoona, WI warehouse to shop in person please contact us for an appointment (715) 309-9663.

Have you selected all the items that you want/need? Please double check your request and make sure all information is correct before clicking on the Submit Button.
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Veteran's Furnishings Request