Language
English (US)
Spanish (Latin America)
Truck Pick Up Request Form
Organization Name
*
Is Your Organization a 501(c)(3)?
Yes
No
Please Select a Nonprofit you are wanting to support with your donation?
Christian Community Action
Operation Kindness
Child Care Group
Ronald Mcdonald House of Fort Worth
Ronald McDonald House of Dallas
Lovepacs
Hope Supply Co.
Tax ID (EIN) #
*
Main Contact/Requestor:
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
How long do you need a truck?
*
Just a pick up at the time selected.
2 Hours
Please Select a Time and Date:
*
Please Select a Time and Date:
*
Please confirm the date and time you requested:
Time
*
Hour Minutes
AM
PM
AM/PM Option
Day of Pickup
*
-
Month
-
Day
Year
Date
Please provide a map of where the truck will be parked.
*
Please provide a map of where the truck will be parked.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please explain the type of donations we will be picking up.
*
Please remember we cannot pick up any furniture and all items MUST be bagged or boxed.
Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Address for Pickup:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: