Thank you for your donation! Name * First Name Last Name Phone (###) ### #### Email * What program are you donating item to?? * Food Clothing Diabetes and Kidney Support Life Skills and Education What type of items are you donating? * At least 1 or more options required. Clothing such as shoes and pants. Shoes Food Pick-up Address Address 1 Address 2 City State/Province Zip/Postal Code Country Desired pick up and drop-off date: MM DD YYYY Desired pick up and drop-off time: Hour Minute Second AM PM How did you hear about us? Search Engine Person Additional Comments? Your donation will help many!
