Furniture Donation Form

Thank you for your interest in donating to our cause!

This is the old version. Please fill out our current form: https://form.jotform.com/ZeroWasteWA/furniture-donation-form

More about the program at repairbank.org
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
What furniture items are you interested in donating.*

Dining chairs (1-4pcs.)Dining chairs (5-10pcs.)Dining table for 2-4 peopleDining table for 5-10 peopleFull or Twin BedQueen bedBunk bedCribMattress in perfect conditionLounge or armchairDresserTV standSide tableCoffee tableNight standLampShoe rackBook caseCarpet in perfect conditionPicture frame or mirrorOther
If damaged or in need of repair please provide a brief description of what needs to be repaired or refurbished.*
Please provide approximate dimentions of the item/s*
Please attach photos of the item/s. Full size, and so that the damage/imperfection (if any) is visible.*

Cancelof
Do you need a pick up OR are you able to transport your item/s yourself to our SoDo location?*

I can drop off itemsI need a pick up and ready to pay a fee (depending on a fee)I need a pick up but not ready to pay a feeOther
By when do you need to donate these items?*

MonthDayYear
Date
How did you hear about us?*
Tell us if there's a story associated with this furniture. Where did you get it, why are you donating it, does it have a sentimental value to you?
Should be Empty: