JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Internal Wish List
Use this form to request items you would like intake and processing staff to set aside for internal use
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your name?
*
Your answer
Which program/department is this for?
*
Office/Organization
Triphammer ReUse Center
Ithaca ReUse Center
Deconstruction
Material Transport Services
eCenter
Ithaca Fixers Collective
ReSET Training Program
What is the item(s) or material(s) you're looking for?
*
Please describe the item and its use if it is not commonly known.
Your answer
How many do you want?
*
Your answer
Is this an item you always want set aside when they come in?
*
Yes
No
Which retail department would this item normally fit?
*
Computers & Electronics
Furniture & Lighting
Appliances, Household & Other Misc. Goods
Building Materials & Tools
What do you plan to use this item for?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fingerlakesreuse.org.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report