Atlanta Habitat ReStore Corporate Donation Form
Questions? Please contact :
Keigh Hamilton
ReStore Donations and Marketing Manager
Contact Information
Business Name
Street Address
City
State
Zip
Is the donation pick-up address different than the contact address above?
Yes
No
Donation Pick-up Address
Street Address
City
State
Zip
Contact Person
Contact First Name
Contact Last Name
Email
Business Phone
Is this the best contact name to receive a donation acknowledgement?
Yes
No
Acknowledgement Contact Person
Contact First Name
Contact Last Name
Email
Donation Information
Item(s) Description
(Please specify qty of each item)
Donation Description, check one:
Please select...
Palletized
Boxed
Loose Items
Attach Inventory
Please include item description, amount, model #, and a photo
Estimated Value of Donation
$
Dates and Times Available for Pickup
Items must be picked up no later than:
Parking Instructions / Special Instructions
Must we accept all items?
Yes, will only donate if all items are accepted
No, Habitat can select which items to accept
Please specify dates/times Habitat Donations Manager can come to select and mark items for pickup.