Item Donation Form

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Item Donation Form

NOTE: This is applicable to only those who stay in Bangalore

* Indicates required question

Email *

Record my email address with my response

NAME *

Your answer

GENDER *

MALE

Female

Prefer not to say

ADDRESS *

Your answer

ITEM NAME *

Your answer

ITEM QUANTITY *

Your answer

PICKUP LOCATION *

Your answer

Send me a copy of my responses.

Submit

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