Gifts In-Kind Donation Form

Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: 000 000 0000.
Email
example@example.com
I am donating:
I have the following Items from your Consistent Needs Wishlist:

Other
Pre-Loved Items I have to donate:

Other
We ask that, as far as possible, our supporters make an effort to drop-off donations at our centre, as it is very challenging and costly for us to arrange collections.

However, we do have a selection of set monthly days for collections in various areas around the Johannesburg area.
Delivery or Collection?
Delivery Appointment
When delivering:
Collection Days
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Notes Regarding Collection:
What Size Vehicle will we need to collect?

Other
Notes Regarding Donation:
Should be Empty: