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Schedule Your Donation Pickup
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1
Your Info
2
Items Donated
3
Schedule
Name
*
Phone:
*
(555)-555-5555
Email
*
Community Name / Complex Name
Is this a gated community?
Yes
No
Gate Code / Instructions
Address 1
*
Example: 123 Riverside Drive
Address 2
Example: Apt 203
City
*
State
*
Zip Code
*
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We are in desperate need of clothing donations.
Approximately how many bags of clothing will you be donating?
3-5
6 or more
Additional items to be picked up:
*
None, just clothing
Housewares
Electronics
Furniture
Other Items
We do not accept baby cribs, large entertainment centers, or desks larger than 54 inches. We cannot accept any soiled, worn, broken, or torn items.
Types of Furniture:
Couch
Bed
Desk
Dresser
Table and Chairs
Outdoor Furniture
Other
Please describe the "Other Items"
Please email photos of large items to donate@pickup4ACS.org
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Preferred Pickup Timing:
*
As Soon As Possible
3-5 Days
More Than 7 Days
Where will the items be left for pickup?
Front Porch (Covered)
How did you hear about us?
*
Online Search
Postcard in the Mail
Received Email
Previous Donor
Magazine Ad
Saw Your Donation Truck
Facebook
Additional Notes (Optional):
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Website
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