Helping Through Him Donation Pickup Scheduling Form
Only items that are scheduled and approved from this list can be picked up. All other items can be dropped off at Southland Christian Church, Harrodsburg Road, Nicholasville, KY, Building N.

We will schedule pick up in Fayette and Jessamine Counties only.

All items must be in garage or carport ready for pick up.

We must be able to back a 16 ft. box truck up directly to garage or carport.

We can not pick up items from inside homes or anywhere that requires stairs.

Items must be in good or excellent condition without tears or stains. Drivers have discretion to refuse items not on list, or in poor condition.

I have read and agree to the above requirements.
Required
What is your first and last name?
Your answer
What is the street address for pick up?
Your answer
What is the city for pick up?
Your answer
What is the zip code for pick up?
Your answer
What is your email address?
Your answer
What is your phone number?
Your answer
What items would you like to have picked up? Please select all items you have to be picked up.
Required
If you are donating a mattress, box spring or bed frame, please indicate the size. Single, Double, Queen, Bunk (without attached desks, shelves, or dressers), Toddler or Baby beds are accepted.
Your answer
Pick up is 8-11 Monday, Wednesday or Friday. We will contact you with a date once we schedule your order. Please select all days you are available for pick up.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of Southland Christian Church. Report Abuse - Terms of Service - Additional Terms