Drives for NYCP - Request for Collection Pick-Up
This form is used to schedule a pick-up from annual Drives coordinated and collected for NYCP, not our usual food donation pick-ups. If you would like to schedule an ordinary food donation pick-up please use this link instead; https://goo.gl/forms/yJ2nbORHpEQglHtj1 for food rescue.

In order to pick-up items collected from your Drive, please provide the following information below. To assist with scheduling, provide two options of pick-up dates and times, one preferred date and one alternate date (one morning time-frame, and one afternoon time-frame) We will schedule your preferred date and time first, and will only call you if we need to use the alternate date and time instead. We like to give credit where it is due, during or after your collection, please provide a weight and or dollar value to our driver at time of pick-up.

Email address *
Company or Donor Name *
Your answer
Description or Type of Donor *
Name of Drive *
Preferred Pick Up Date *
*November 14th Currently Closed
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3 Hour Time Frame (Start Time) *
**Check that your start time is correct - must be in same day as end time (eg. 9am - 12pm)**
Time
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3 Hour Time Frame (End Time) *
**Check that your end time is correct - must be in the same day as start time (eg. 9am - 12pm)**
Time
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Alternate Pick-Up Date *
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Alternate 3 hour Time Frame (Start Time) *
Time
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Alternate 3 Hour Time Frame (End Time) *
Time
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Exact Pickup Address, including cross Streets and Zip Code *
Your answer
Location Contact Name *
Your answer
Location Contact Number *
Your answer
Location Contact Email *
Your answer
Estimated Quantity (# of Boxes, Packages, etc)
Your answer
Size of Vehicle Needed to Pick-Up Your Collection:
Estimated Total Pounds (lbs) *
Fill in only for food collection, not toys and non food items. We'd like to give credit where it's due. What is the total pounds of this donation, if known?
Total $ Value of Donation (If Known) *
Use whole numbers and figures only; for example, for $50, put $50. Put NA if unknown.
Your answer
Please provide any special instructions upon arrival for our drivers: *
Your answer
A copy of your responses will be emailed to the address you provided.
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