Item Donation Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Donation
*
Bedding/Matresses/Box Springs
Clothing(List type/sizes in notes)
Shoes and Bags
Kitchenware
Books
Toys and Games
Winter Clothing(List type/sizes in notes)
Linens/Quilts
Hygiene Essentials
Appliances/Washer/Dryer/Refrigerator
Furniture
Other
What would you like to donate?
Notes
Remember to check your email for responses!
Submit
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