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FREE Donation Pick-up Request

Pick-up Request:

Email*

First Name*

Last Name*

Phone Number

Mailing Address

City

Postal Code*

Brief donation description:

Beverage Containers

Clothing

Household Items

Cell phones / Electronics

Other, please specify donation:

How did you hear about the program?

Other:

Donors will be called back upon the next business day. The CPAA strives to ensure donor pick ups are handled in a timely fashion. Donors not home will receive a voice mail message confirming receipt of their request, the next pick up available in their area.

Donors will be required to call 1.888.477.8030 to confirm their pick up.
Messages left by the CPAA are not confirmation of pick up.

We respect your privacy. Personal information will only be used for the purposes indicated on this form.

*required info

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