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Submit Donation Pickup

Please provide a short description of what you have for us (eg. one tower, one monitor, a laptop and a box of misc. goodies). Note that unless you specify otherwise, all personal information will be removed entirely from our database after we make our pick-up from you. Please call us if you have any problems with this form. We're happy to help!

lbs
Please tell us the approximate weight of your donation. This will help us determine what kind of vehicle to send.
Location
Location
If you wish to supply your own latitude/longitude, you may do so here. Leaving these
fields blank means that the system will determine a latitude/longitude for you, if possible.

Uncheck the box above if you don't mind us hanging onto your personal information. Otherwise all traces will be removed from our database after we make your pick-up.
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
14 + 2 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.