Colusa Warehouse Furniture Request Form
Please answer all questions. Failure to provide full information could hinder our ability to help. We will work through the list to help as many people as possible.
Name *
Your answer
Phone number *
Your answer
Email *
Your answer
Affected Address- must provide proof *
Your answer
What is your current living situation? *
Current Address including city, state *
Your answer
How many in your family? *
Your answer
Please list furniture needs in priority order. *
Your answer
Can you pick up your own furniture *
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