YOUR INFORMATION
First Name*

Last Name*

Pick-Up Address*

City*

State*

Zip*

Phone*

Email

DONATION INFORMATION
Items to Donate*

Comment or Additional Information for Pick-Up

RECEIPT DESIRED
NoYes

DO YOU NEED TO BE HOME DURING PICK UP OF ITEMS
NoYes

Prior to pick-up, we require pictures of the items you would like to donate. Please take photos of your items and send them to dkostek@habitatmiddlesex.org with your name/address in the subject line. You may also send pictures later in the process if you cannot take photos using a digit photo device.

Would you like to subscribe to our ReStore email list? We will send out occasional notices of sales and special events.

No ThanksYes, Please subscribe me

Please enter an answer in digits:

Δ