Donation Pickup Request Form

Donation Pickup Request Form

Habitat for Humanity of 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.

Habitat ReStore Location: 4700 Allen Rd Zephyrhills, FL 33541
Name

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

Street Address

Street Address 2

CityState

Zip Code
Community Name and Gate Code
Lot # or Apartment #
What item(s) are being donated?
How did you hear about us?

FacebookGooglePostcard from furniture storeWord of mouthI am a returning donorOther
Please submit at least 2 photos.

If you have additional photos, please email them to mjacobs@habitatpasco.org.
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