Houston Charity Donation Pickup Request & Receipt EIN#830413123

Please complete the form below to accept your appointment, then hit the submit button at the bottom of the page to complete the process

YOUR APPOINTMENT IS:

FRIDAY 05-29-09
(This is the only day available)
WRITE THIS DOWN FOR YOUR RECORDS

For "Houston Charity Center" Dontions

Name?

Street address?

Nearest main intersection

City?

Email address?

Donation pickups are from 9am to 5pm. We are not able to specify the time of our arrival due to the many variables beyond our control. In order to serve you better, please check ONE of the following options.

Driver should call 30 minutes prior to arrival and someone will meet him on location.

Donation will be on the front porch or driveway ready for pickup.

Zip Code?

Click here if your correct zip code was not listed

Daytime phone?

Evening phone?

Cell phone?

<< CHECK THIS BOX - to receive a tax receipt for your donation.

Donation description (Item, Condition, Quantity, Estimated Value)

Enter the total value of your items at the time of their donation. This is your good faith estimate of what the items would sell for today in a setting such as a garage sale. (NOT THE ORIGINAL COSTS).
DONATION VALUE $

Please consider the items below.
Check any items you might be able to add to your donation.
PLEASE ADD NON-PERISHABLE FOOD TO YOUR DONATION IF POSSIBLE

Home Decor	Clothes	Knick-Knacks	Computers	Kitchen items
Furniture	Electronics	Housewares	Excercise equip.	Toys
Food	Appliances	Towels	Yard Equip.	Jewelry