Web Design and Marketing Houston Graphics by Cindy

DONATION FORM

    PLEASE INCLUDE CONTACT NUMBER AS WE WILL CALL TO VERIFY PICKUP

    First Name: 
    Last Name:
    Email:
    Contact Number:
    Address:
    Address:
    Zip Code:


    Type of Donation (check all that apply): household items
    electronics
    clothing
    vehicle
    other

    Description of items being donated. Please include condition and total estimated value.

    (if vehicle donation - please include make/model and condition for example - running condition/any known mechanical issues):