Material Donation Pickup Request

  1. The information submitted in this form will be reviewed by one of our schedulers and we will contact you within 24 business hours to schedule a pickup.
  2. Please enter an email address to receive confirmation of your online donation.
  3. There is NO CHARGE for our donation pickup service.
  4. Our donation pickups are from 9:30am to 3:30pm (we do not set a time, but you can tag items and leave these outside for us).
  5. PLEASE review this list of items that we CAN and CANNOT recieve for pickup.

Name

   
A value is required. A value is required.
First* Last*  

Address

   
A value is required.
Street Address*    
Address Line 2    
A value is required. A value is required.
City*   Zip Code*

Address Location

Name of Business/Apt Complex/Gated Community
   
Gate Code (if needed)    

Contact Information

   
A value is required.Invalid format. A value is required.
Email* Phone* Secondary Phone
 
How did you hear about us?/What prompted you to contact us?

Donation Description

QTY. Item Type Item Description
Where Will The Items Be?    
   

Is there 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!):

  * = Required Field