Upcycling - Referral Form

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Please read the following disclaimer before completing the form:

Any items being donated must be in good working order and in good condition.

We can PAT test electrical items/white goods.

Upholstered items like sofas and chairs must have a fire safety label in order for them to be accepted.

Please choose from the following options: *

I am a WSHA tenant

I am a WSHA staff member

Other:

Please indicate if you are looking for an upcycled item, or if you have an item you would like to donate: *

I am looking for an upcycled item

I have an item to donate, or know someone who has an item to donate

What type of item are you looking for or donating? Tick as many as applicable. *

White goods (fridge, freezer, cooker, washing machine, dryer)

Furniture (Sofa, Table, Chairs)

Lighting or electrical (Tall floor lamps, desk lamps, television, kettle)

Accessories (ornaments, mirrors, artwork)

Soft furnishings (cushions, curtains/blinds, rugs)

Other:

Required

If you chose white goods, please specify the item or items here:

If you chose furniture, please specify the item or items here:

If you chose accessories, please specify the item or items here:

If you chose lighting and electrical, please specify the item or items here:

Finally, if you chose soft furnishings, please specify the item or items here:

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