Item Pick-up Online Form

Item Donation Pickup Form

Wayside Cross Ministries Merchandise Pickup
Online Pickup Request Form

* Required
Full name:	*
Address:	*
City:	*
State:	*
Zip:	*
Telephone number:	*
E-mail address:	*
Please provide a detailed description of the donated items you would like picked up, including an approximate count for the number of boxes and bags of clothing and household items. Also be advised that donated items must be in good, usable condition, and will not be moved up or down any stairs. Your donation receipt will be based on the information you provide, and given to you at the time of pickup. Any items judged to be unacceptable for donation will NOT be picked up.
	*

Thank you for your donation.

Primary design by Kelly Hart