Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
example@example.com
Company/Organization (if applicable)
Please describe what you would like to donate to APS and the condition of the item(s).
*
Please upload a picture of the item(s).
What is the estimated value of the item(s) being donated?
*
When do you need to complete this donation?
*
-
Month
-
Day
Year
Date
Please describe the packaging or status of the item(s) being donated. (In boxes? How many boxes? Size of boxes?)
*
Please describe any ongoing maintenance fees or costs associated with accepting this donation.
Will this item need to be picked up by APS or can it be dropped off to the APS warehouse?
*
Picked up by APS
Can be dropped off to APS
Other
If APS must pick up the items, please provide the pick-up address of the items.
Submit
Should be Empty: