St. Vincent de Paul Thrift Store

 

   58 Progress Parkway, St. Louis, MO 63043, 555-555-1234

Demo Site

1234 E Main Street
Peru, CA 46970

(765)475-4973

demo.thriftstorewebsites.net

Schedule a PickupSchedule Donation Pickup

Fill out the form below and we will contact you if we are available to schedule a pickup of your donations during your specified times.

Form - Schedule Pick-up Form

Name (required)
First Name (required)
Last Name (required)
Address of Pick-up (required)
Street Address (required)
City (required)
State/Province (required)
Zip/Postal Code (required)
,
Phone (required)
Phone TypePhone Number (required)
E-Mail Address (required) :
What will you be donating? (This is so we know how much room on the truck we need.) (required)

I need a receipt for tax purposes
Month (required)
(Please select a month)
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec
Day (select all that apply so that we have other options in case we have other pick-ups scheduled) (required)
(Select any dates that apply)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year (required)
(Please select Year)
2010
2011
2012
2013
Times (select all that apply so that we have other options in case we have other pick-ups scheduled) (required)
(Select any times that apply)
8am
8:30am
9am
9:30am
10am
10:30am
11am
11:30am
12pm
12:30pm
1pm
1:30pm
2pm
2:30pm
3pm
3:30pm
4pm
4:30pm
5pm
5:30pm
6pm
6:30pm

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