List of needs for a large family

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Sign up to donate household items for a family of 8 before September 12th. IWR is collecting the following donations in good to new condition (clean and with no major flaws, holes, stains, pet hair, etc.). We will contact each of you by email with details about how to donate your items. At the bottom of this form is a place for questions. Thank you so much!

Email *

Please type your name:
*

Please select from the locations below where you would like to drop off your donations (you can check more than one location). We will email you with contact information for the location(s) you select.

Lansing

Ithaca downtown

Trumansburg

Cayuga Heights

Belle Sherman

Please select from the items below anything you would like to donate:

Blanket for a twin bed (2 of 4)

Blanket for a twin bed (3 of 4)

Blanket for a twin bed (4 of 4)

Cushions for a wooden rocking chair (back and seat)

Bedside table (with drawers preferred)

Bedside table

Coffee table or occasional table

If you prefer to donate a gift card for Groceries (Tops, P&C, Wegmans) or a Household goods (Target, Walmart, etc), please feel free to do so. These can also be dropped of at one of our drop-off locations.

Questions or comments

Would you like to learn about volunteering with Ithaca Welcomes Refugees?

Yes

No, not right now

No thanks, I am a volunteer

Clear selection

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms