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Material Donation Form


*First Name:
*Last Name:
* Name of Business/Apt Complex/Gated Community:
* Address:
*
* City, State, Zip
*Community:
* Gate Code (if needed):
* Call Back Number:
*Secondary Number:
*Email Address:

*How did you hear about/what prompted you to call?:

* Please provide a brief Description and Quantity of what you will be donating (so we can provide
the appropriate amount of space):
* (Qty)*(Qty Type)*(Item Description)
** *
** *
** *
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*Where will items be?:

*Any information you think we should know about related to your pick up, or special instructions for our driver (i.e.: Beware of Dog, items in back yard, call upon arrival, items under shed/carport, etc... Do not include driving directions!):
*

* *


*Please Note

  • -- Click here for list of items we do not accept
  • -- Enter Email address to receive confirmation of online donation
  • -- There is no charge for picking up
  • -- Our pickups are from 9:30am-3:30pm (we do not set a time but you can tag items and leave these outside for us).
  • -- A 3 bag/box minimum is required for a pickup.