Perquimans Donation Pick Up Request Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Pick-Up Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Donation type
Furniture
Appliances
Kitchen Tools
Clothing
Cabinets
Doors
Electrical Appliances
Lighting
Plumbing
Tubs
Home Decor
Other
Donation Details, this will be provided on a tax donation receipt if requested.
Item Description
Quantity
Estimate Amount ($)
1
2
3
4
5
6
7
8
9
10
Can you please provide a general description of your donations?
What is your preferred time for pick-up? Please note we are picking up between 8:30am-1pm
Hour Minutes
AM
PM
AM/PM Option
Do you have any comments, notes, or special instructions?
Please email piratesplunderpq@gmail.com with questions or call us at 252-426-1697.
We are located at 115 N Church St Hertford, NC and are a registered non-profit with the state of North Carolina. Our community support includes direct partnership with Perquimans County Dept. of Social Services. Learn more about us on our website at piratesplunderthrift.org
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