Please enable JavaScript in your browser to complete this form.Name *FirstLastContact Phone Number *Enter your 10 digit phone number.Address *Items being donatedSofaEntertainment CenterLiving RoomLove SeatDresserClothingLiving Room ChairDining Room ChairHousehold ItemsOtherHow many clothing bags or household boxes are you donating?Conditions of Items: Would you purchase your donation? If the item(s) are not sellable, we cannot pick them up. Our pick up serrvice is for sellable items only. Landfill expenses takes funding away from our Medical Equipment Lending and Merchandise Voucher Program. *Good (Normal wear shown, no visible tears or stains, has all cushions/pillows)Very Good (Limited wear shown, no stains or tears)Excellent (No wear shown, no stains or tears)How many items are you donating?WebsiteSubmit