NAVIGATION

Truck Pick Up Request Form

Host a truck drive onsite at a location of your choice. Collect donations during a two hour time frame.

Organization

Organization Name *

Is Your Organization a 501(c)(3)? *

YesNo

Main Contact / Requestor

First Name *

Last Name *

E-mail *

Phone Number *

Schedule

Choose how long you need the truck, then pick a date and time.

How long do you need a truck? *

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Pick a date *

Available times (30 min)

Choose a duration first

Pick how long you need the truck to see available times

Guest Email(s)0 of 10 guests added

Notify up to 10 additional guests of the scheduled event.

Please share anything that will help prepare for this pickup, including the expected number of bags or boxes. *

Please enter the Contact Phone Number for the day of the event: *

Addresses

Mailing Address: *

Street Address *

Street Address Line 2

City *

State *

Postal / Zip Code *

Address for Pickup: *

Street Address *

Street Address Line 2

City *

State *

Postal / Zip Code *

Please provide a map of where the truck will be parked. *

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