Furniture – Donate/Request/Serve Today's Date MM slash DD slash YYYY Name* First Last Phone Number*Email* Enter Email Confirm Email Are you:* Requesting furniture Desiring to donate furniture Looking to volunteer List address of furniture to be picked up or delivered:* Street Address City State / Province / Region ZIP / Postal Code Description of furniture donation or furniture needs:*What caused this issue to arise?*Number of parents in household?* Number of working parents in household?* Race of primary parent in household?* Number of children in household? If any children, number of boys. If any children, number of girls. Are you a Victory member?* Yes No Today's Date MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*I will allow film or photography when drop-off is made?*YesNoHow would you like to participate with the furniture drive?*DonateReceiveIf married, spouse’s Name: First Last Child name wanting to serve: Items donating* Dresser(s) Bed(s) Dining Set(s) Sofa(s) Chair(s) Coffee Tables End tables Recliners Night Stands Some Beds (Limited and First Come, 1st Serve) Child age wanting to serve?*101112131415161718Items requesting* Dresser(s) Bed(s) Dining Set(s) Sofa(s) Chair(s) Coffee Tables End tables Recliners Night Stands Some Beds (Limited and First Come, 1st Serve) ** If donating, upload photos of what you would like to donate* Drop files here or Select files Accepted file types: jpg, gif, png, pdf, Max. file size: 120 MB.
