Pick-Up Donation Request Form
At the U.D.T.J. Community Center, we're committed to ensuring everyone in our community has access to essential supplies for happy and healthy living. If you're unable to visit our closet due to accessibility issues, don't worry! We're here to help.

Our closet is stocked with a variety of items, including hygiene products, Narcan, menstrual products, first aid kits, safe sex kits, chest binders, fentanyl test strips, and more. Whether you need one specific item or a combination of supplies, we're ready to assist you.

Simply fill out the form below with your name, contact information, and the items you need. Let us know your preferred pick-up date and time, and any additional notes or requests you may have. Our team will work with you to schedule a convenient pick-up time and ensure we have the resources ready for you. In the case we do not have the items currently in stocks that you are in need of we will be working with our community partners and will be happy to refer you to someone who can provide those items.

This form is primarily for those who may face accessibility barriers in visiting our center. We're here to support you every step of the way, so please don't hesitate to reach out. Together, we can make sure you have the resources you need for a healthier, happier life.

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Organization Collaboration 
(if applicable)
Name
Contact Email
Contact Phone Number
Preferred Pick Up Date
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/
DD
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YYYY
Preferred Pick Up Time: Hours of Operation are Tuesday thru Saturday 10am to 6pm.
Preferred Contact Method
Item Requested:  *
Required
Item Requested Details: 
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