Donation Pickup Request

Contact Information

First Name *

Last Name *

Best Phone

Alternate Phone

Email *

Pickup Location

Company

Address *

Address Line 2

City *

State *

ZIP Code *

Brief description of the items you wish to donate NOTE: LVRM may refuse damaged, torn, soiled, or inoperable items. Donations of older model TVs may be redirected.

How would you like us to contact you?

Phone

I would like to receive email communications from the Mission with information about upcoming events and other ways I can help

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VOLUNTEER

Donation Pickup Request

Contact Information

Pickup Location

Community Partners