Request edit access
Consent form for clothes/items donation
Are you aware of these facts?
•The fashion industry produces 10% of all humanity’s carbon emissions, is the second largest consumer of the world’s water supply and pollutes the oceans with micro plastics.
•20,000 liters of water is needed to produce one kilogram of cotton; equivalent to a single t-shirt and pair of jeans - WWF
•85% of the plastic pollution in the ocean is due to microfibers from synthetic clothing (Ecologist Dr. Mark Browne
•Clothing made from polyester can take up to 200 years to break down (

What is Mom's Store Nepal?
Mom’s Store Nepal (MSN) is a social enterprise aims at encouraging people on opting sustainable practices. It receives clothes or items donated and put it into re-use eliminating them going into landfills. MSN receives donation of following items that are still in good condition:
•Kids clothes
•Kids shoes
•Kids toys
•Any material useful for baby care
•Adult clothes

What do we do with  donated items?
MSN's aim is to circular these pre-used  items for the benefit of the environment and community. People often ask if such items can be given to  to the needy ones for free of cost. However, MSN realizes that it is difficult to define and find the needy ones who guarantees of re-using them’. Therefore, the goal is  to make these pre-used items available for a purchase in a low price for anyone (especially who can not afford buying new clothes for their rapidly grown kids each month) and who is willing  to love them again and contribute in stopping these items from going into landfills.

What do we do with the revenues generated from sales of these donated items?
The revenue generated through sale is mobilized to to meet the operational cost such as pick up the donated items from the donors’ place, laundry cost, storing and other expenses made on logistic and other arrangements for making pre-used items look fresh and usable again  so that the service becomes sustainable itself. Left over amount will be invested in awareness generation to the public on promoting sustainable practices.

To know more about it, please visit and follow us on:
Phone/viber: +977 980-5446915

Sign in to Google to save your progress. Learn more
Email *
After reading these, do you still agree on donating your preloved items to us? *
What is your full name? *
Can you provide your phone number?
Which location is best to pick the donation?
Please provide your further suggestion if any.
Can you provide your email address?  We ask for an email so that we can forward a certificate of carbon footprints that you saved by donating items.
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy