Thank You For Supporting Our Mission
Please choose a time for your Pick-Up Below and let us know what you plan to donate.
You will receive a confirmation email from Eric@EricsJourney.org in 24-48 hours after your submission has been processed by one of our volunteers.
Preferred Pick-Up Date
Please choose a date 24-48 hours from the time you fill out this form.
Preferred Pick-Up Time
Please choose all that apply.
Morning (Earliest Pickup 9am)
Afternoon (Last pickup 5pm)
What types of item(s) are you donating?
Gowns - including surgical and isolation
Snacks (Individually packaged Only)
Drinks (Individually packaged Only)
Any other comments and/or questions?
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Eric's Journey Foundation.