Furniture Pickup Request

We'd like to get some information from you to begin your pickup. Please enter the contact person and address where you would like us to pickup your donations.

At this time, a credit card number must be given in advance.

Contact Information

First Name

Last Name

Company/Organization (optional)

Phone

Phone 2

Email Address

OK to text me with notifications related to my pickup

Pickup Address

Address

Apt or Unit #

City

State

Zip Code

Complex Name

Building Type

Accessibility

Floor

# of Items

Comments, Gate code?, What level are the items at (e.g. 2nd floor)

I have an override code