Donor Information
Thank you for your generosity and support. Please complete the form below and we will contact you once it is received to arrange for pick up/ delivery of your item. We will also email you your tax deductible receipt. If you have questions regarding this form please call our offices at (757) 422-2040.
Donor Information
Name of Donor( Individual or Business) *
Your answer
Address *
Your answer
Phone *
Your answer
Email *
Your answer
Website address (for businesses)
Your answer
Contact Person (for business)
Your answer
Donated Item
Name of Item *
Your answer
Description( limited to 350 characters) *
Your answer
Restrictions ( expiration, blackout dates, etc. Please write "none" if restrictions do not apply) *
Your answer
Fair Market Value *
Your answer
Pick up/Delivery Options
Please tell us what would be most convenient for you *
Required
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