Donation Pick Up Form
Thank you for your willingness to donate! Please fill out the information below to help us coordinate the pickup.
Donor Details
Full Name
*
First Name
Last Name
Pickup Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-000-00.
How would you prefer to receive your pick-up confirmation?
Please Select
Text
Email
Either works for me
Donation Items Details
Approximate Quantity of Items
(e.g., number of bags/boxes)
Type of Items You Wish to Donate (Please select all that apply)
Children Clothing
Baby Clothing
Health Essentials
Shoes
Plush Toys
Blankets
Diapers
Baby Supplies
Newborn Clothing (0-3)
Pick-Up Availability
Are there any specific dates and times when you will not be available for a pickup?
Consent & Communication
Would you consent to us taking photos or videos during pickup, which may be used in our promotional materials?
*
Please Select
Yes, I consent
No, thank you
Would you like to receive our newsletter with updates?
*
Please Select
Yes, I would like to receive the newsletter
No, thank you
How did you hear about us?
*
Please Select
Website
Instagram
Facebook
Word of Mouth
Events
Toddler Groups
Other
Submission & Payment
For pickups outside Rotherham and Sheffield, a non-refundable flat fee applies. After clicking "Submit," your form is submitted and the system redirects to the payment page. If you're based in Rotherham or Sheffield, you can simply close the payment page—no payment is required.
Submit
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