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Donate Items. Help a Family Rebuild. 💜
18
Questions
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1
Who can we thank for this donation? 💜
*
This field is required.
First Name
Last Name
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2
How would you like to get the donation to us? 🚚
*
This field is required.
🚚 I would like to request pickup
📦 I can drop the items off
🤝 I’m flexible — let’s coordinate
I’m not sure yet, let's talk about it
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3
What’s the best phone number to reach you? 📱
*
This field is required.
We may text or call you to coordinate your donation or pickup.
Area Code
Phone Number
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4
What’s your email address?
*
This field is required.
example@example.com
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5
Are you donating as an individual or on behalf of an organization?
*
This field is required.
🙋 Individual
🏢 Business
⛪ Church or faith organization
🤝 Community organization
🏫 School
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6
What would you like to donate? 🎁
*
This field is required.
Choose everything that applies.
👚 Adult clothing
👜 Handbags/accessories
👕 Children’s clothing
🧸 Toys & children’s items
👟 Shoes
🛏️ Beds/mattresses
🛋️ Furniture
🍽️ Kitchen items
🥘 Cookware
🛁 Bathroom items
🧺 Linens, towels & bedding
🧹 Cleaning & household supplies
🏠 Home décor
💡 Lamps/small household items
📺 Electronics
🪑 Outdoor/patio items
📦 Other household goods
🚗 Vehicle
🚤 Boat
🏡 Real estate/property
🌳 Land
Other
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7
Tell us a little more about your donation.
*
This field is required.
Give us a general idea of what you have and approximate quantities.
Huge
Large
Normal
Small
Ok
quote
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Ok
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8
How would you describe the overall condition of the items?
*
This field is required.
✨ New / never used
💜 Like new
👍 Gently used and in good condition
🙂 Used but still functional
🤔 Mixed condition
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9
Before we coordinate pickup, please let us know if any items have been exposed to:
*
This field is required.
Choose everything that applies
Cigarette/cigar smoke
Mold or significant moisture
Bed bugs or other pests
Significant pet damage
Dogs
Cats
Major stains, tears or structural damage
I’m not sure
None of the above
Other
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10
Please upload a few clear photos, especially of furniture, beds, large household items or anything that may require a truck for pickup.
*
This field is required.
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
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11
Please tell us about the large items. 🛋️
List the large pieces and approximate dimensions if you know them. Queen mattress, dresser approximately 5 feet wide, dining table with six chairs.
Huge
Large
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Small
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quote
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12
If the donation needs to be picked up, please provide address.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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13
Where are the donated items located?
*
This field is required.
This helps us schedule enough volunteers
Garage
First floor of home
Driveway
Second floor of home
Front porch
Apartment first floor
Apartment second floor
Apartment third floor
Storage unit
Business office
Other
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14
Is there anything our pickup team should know? 🚚
*
This field is required.
Stairs are involved
Elevator available
Apartment complex
Gated community
Limited parking
Large/heavy furniture
Nothing special
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15
When would you like the items picked up?
As soon as reasonably possible
Within the next week
Within the next two weeks
No rush
I have a specific deadline
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16
If you have a specific deadline, place the date here.
We’ll do our best to accommodate requested dates, but submitting this form does not guarantee a specific pickup date.
-
Date
Year
Month
Day
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17
Would you like a written acknowledgment of your donation? 🧾
*
This field is required.
If yes, we will email to you at the above provided email address. The Foundation will acknowledge the items donated but does not determine or assign their fair-market value. Donors should consult their tax professional regarding valuation and deductibility.
Yes
No
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18
I confirm that I am authorized to donate the items described above and give The Jenna Marie Foundation permission to contact me regarding this donation.
*
This field is required.
Yes
No
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