Donation Pickup Request Form

Donation Pickup Request Form

Habitat ReStore Zephyrhills | 4700 Allen Rd Zephyrhills, FL 33541
What service are you requesting?
Please fill out the form below as accurately as possible. PHOTOS ARE REQUIRED.

Once you have completed this form, hit submit. You will receive a response by phone or email from our donation team by the end of the next business day. For fastest response times, please send during our donation department hours: Tues-Sat 9am-5pm.

Thank you for your generosity! We truly appreciate your desire to support the mission.
Name

First NameLast Name
Email
Phone number
Enter a valid phone numberFormat: (000) 000-0000.
Address

Street Address

Street Address 2

CityState

Zip Code
Lot or apartment #
Community name & gate code
What item(s) are being donated?
How did you hear about us?

Other
Please upload at least two (2) photos. If you have any trouble uploading, please email them to dispatch@habitatpasco.org.
Photo upload

Cancelof
Notes or special instructions
Should be Empty: