Pick-Up Request Form

Pick-Up Request Form

*Name	*Phone Number [123-456-7890]
*Address	*Email Address

Directions (Please list the closest major intersection, and your zip code)

Items to be picked up:

Items will be in: House Porch Garage

Do you want a tax receipt? Yes No

*Please remember that due to insurance liability issues, our drivers are not allowed to go up or down flights of stairs. All donations are subject to the driver's approval.

* indicates required field