Donate Contact Info How did you hear about us? Friend or Relative Donated Before Saw Truck At Church Home and Garden Show TV or Radio Newpaper Article Furniture Store Other How did you hear about us? First Name * Last Name * Street Address 1: * Street Address 2: City * Zip Code * State Email Address * Phone Number * Extension: (We provide a 30 minute call ahead on the day of the pickup, so check if this is the best number to reach you) Item(s) Info – Please list all items(If not explicitly available as an option, choose other) Qty * Items to Pick up * Box Spring (Full) Box Spring (King) Box Spring (Queen) Box Spring (Twin) Couch Dining Room Chair Dining Room Table Dressers Kitchen Chairs Kitchen Table Living Room Chair Loveseat Mattress (Full) Mattress (King) Mattress (Queen) Mattress (Twin) Sectional Couch Sleeper Sofa Other Items to Pick up Add Remove Pickup Info. We will confirm the first available date when we contact you. Pickup Type * $50 – All items located on a first floor, on the porch, or in a garage. $100 – Items above or below the first floor in a house. OR – Items in an apartment building above the first floor. $125 – If items are up to a second floor and down to a basement $150 – If items are on more than one level inside the apartment (If items are not on the first floor, you will be asked to sign a Damage Waiver at the time of the pickup) Is there an Elevator? Pickups above the first floor in apartment buildings can only be scheduled if there is an elevator. * Yes No Payment Option * Check PayPal Credit Card Payable at the time of the pickup. Drivers have a credit card machine at the time of pickup. IF YOU SELECT PAYPAL, YOU WILL DIRECTED TO THEIR SITE AFTER YOU CLICK SUBMIT. YOU WILL NOT BE REDIRECTED BACK TO OUR SITE AFTER PAYPAL Comments(Additional Instructions For Driver) Special Instructions (If items are not on the first floor, you will be asked to sign a Damage Waiver at the time of the pickup) If you are human, leave this field blank. Δ
