Household Items Donation Form

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Email *

Please Read: Fill out this form for in-kind furniture donations to Keeping Our Promise. Someone will be in touch with you to schedule a pick up. Pickups may take up to four weeks, depending on storage availability and schedules of volunteer drivers who work and go to school. We do not accept old TVs. While we appreciate an offer of an entire house or apartment filled with furniture, we do not always have the storage space available to take a large quantity of donations at one time. We do not take clothes or shoes. Please donate those to Asbury Storehouse located on East Ave. in the city of Rochester. KOP at times has more furniture than we need to house a family. We reserve the right to sell any piece through the Greenovation store with proceeds funding our program. *

Yes I have read this form and agree to conditions

Name *

Address *

Phone number *

Description of Furniture / Pieces to be picked up *

Best times for pick up *

Weekdays - Mornings

Weekdays - Afternoons

Weekdays - evenings

Saturday

Sunday

Required

Staff Use Only: Volunteer SIV who picked up donations

Staff Use Only: Pick-up date of donations

YYYY

Staff Use Only: Goodwill Valuation of donations

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