Donation Item Pick Up Request

Donation Item Pick Up Request
We appreciate you wanting to donate! Please fill out this form so we can get more information about the item(s) you wish to donate and how to get in touch with you.

We have a few guidelines about picking up donations:
- We do our best to try and pick up the item(s) quickly but it may take some time based on our schedule.
- We do not pick up any donations outside of our Monday-Thursday from 10am-3pm opperating hours.
- We do accept all donations, but we may not accept the item(s) you wish to donate. Please do not take offense to this, we have limited space or may not have a need for that specific item.
- We will call you when we are able to schedule a time to pick up your donation(s).
- If you have any questions or concerns, please email mattbell@citylightsministry.org.
Personal Details:
Full Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please Describe The Item(s) Requested To Be Picked Up:*
Please Upload A Photo Of The Item(s) Requested To Be Picked Up: *

Cancelof
Please Provide Any Information About The Donation(s) You Feel Is Important:
Today's Date*

MonthDayYear
Date
Should be Empty: