ReStore Request Form

Habitat ReStore Request Form

Habitat for Humanity East and Central Pasco County
What service are you requesting?
Please fill out the form below as accurately as possible. PHOTOS ARE REQUIRED. We are unable to provide pick-up times until the business day prior to your scheduled pickup (4 hour window).

Once you have completed this form, hit submit. You will receive a response by phone or email from our donation team by the end of the next business day. For fastest response times, please send during our donation department hours; Tues-Sat 9am-5pm.

Thank you for your generosity! We truly appreciate your desire to support our mission.
Zephyrhills Location: 4700 Allen Rd Zephyrhills, Fl 33540
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address 2

CityState / Province

Postal / Zip Code
Community Name and Gate Code
Lot # or Apartment #
What item/items are being donated?
How did you hear about us?

FacebookGooglePostcard from Furniture StoreWord of MouthOther
Please submit at least 2 photos.

If you have additional photos, please email them to latkins@habitatpasco.org.
File Upload

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Should be Empty:

Habitat ReStore Request Form