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Online Donation Form

We offer free pick-up service for items too large to fit in your car.
Please check the list of items we accept before making arrangements for pick-ups.

First Name(*)
Please let us know your first name.

Last Name(*)
Please let us know your last name.

Email Address(*)
Please let us know your email address.

Pick-up Address(*)
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Suite or Apt. #
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City(*)
Please let us know the name of your city.

Zip Code(*)
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Phone Number(*)
Please let us know your phone number.

Alternate Phone
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List your donation items.(*)
Please list your donation items.

Special Instructions
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