wpforms-text-logo

Your Name *

First

Last

Do you represent a business

Business Name

Email *

Phone

Where are you based

What is your message about? *

Please choose one or more of the following

Will your donation need to be collected?

Please provide an address for collection

Address Line 1

Address Line 2

City

State

Zip Code

Date and Time for Collection

Date

Time

Please upload a detailed inventory of goods for donation

Click or drag files to this area to upload. You can upload up to 4 files.

FedEx will require this information prior to collection. For large single items it is helpful to include an image to ascertain dimensions.. You can upload file formats that include .doc, .xls, .ppt, .pdf, .png, .gif, .jpg

Please elaborate

This field can accommodate any length of text.