Donation Pickup Request Form

Donation Pickup Request Form

Habitat ReStore Zephyrhills | 4700 Allen Rd Zephyrhills, FL 33541
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 the mission.
Name*

First NameLast Name
Email*
example@example.com
Phone number*
Enter a valid phone numberFormat: (000) 000-0000.
Address*

Street Address

Street Address 2

CityState

Zip Code
Lot or apartment #
Community name & gate code
What item(s) are being donated?*
FacebookGooglePostcard from furniture storeWord of mouthI am a returning donorOther
Please upload at least two (2) photos. If you have any trouble uploading, please email them to dispatch@habitatpasco.org.
File upload*

Cancelof
Notes or special instructions
Should be Empty: