Rotary Auction - Island Pickup Request
First Name *
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Last Name *
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Bainbridge Island Pickup Street Address *
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Phone number where you can be reached (incl area code) *
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Email Address *
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Are you a Senior or someone with medical limitations unable to load/transport items for donation?
List of Key Items for Pickup *
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Best Estimate of donation Load Size. (Note: We will be using medium sized Rental Truck) *
The fees charged for pickup are detailed on the Donations page of the Auction website. Also, note that there are items we do not accept. By submitting this form, you agree to provide payment at the time of pickup. *
Pickups will be scheduled between 9am and 8:15pm from Saturday, June 29 through Monday, July 1. Three pickup periods are available each day: Morning, Afternoon, or Evening. Please note your preferred pickup date/time below. We will email you to confirm the actual pickup date/time. *
Alternative Pickup Date *
Comments/Additional Information
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