Pickup Form

What would you like to have our team pickup? Use the drop down menus to tell us what you would like to donate. For every item there are two drop downs to help us understand the types of items you are considering donating.*please note that images with a file name longer than 15 characters will cause the form not to submit.

**If you have more than one item please click on “Do you have another item to donate?” and fill the item information again. **Please fill all the required fields.

Items List:
Tell us about the first item you would like to donate:*
Tell us about the type of Item#1- Appliances*
Tell us about the type of Item#1- Bathroom*
Tell us about the type of Item#1- Building Materials*
Tell us about the type of Item#1- Doors - Exterior*
Tell us about the type of Item#1- Doors - Interior*
Tell us about the type of Item#1- Flooring*
Tell us about the type of Item#1- Furniture Bedroom*
Tell us about the type of Item#1- Furniture - Dining Room*
Tell us about the type of Item#1- Furniture Living Room*
Tell us about the type of Item#1- Furniture - Home Office*
Tell us about the type of Item#1- Furniture - Outdoor Seasonal*
Tell us about the type of Item#1- Garden/Seasonal*
Tell us about the type of Item#1- Hardware*
Tell us about the type of Item#1- Heating and Vent*
Tell us about the type of Item#1- Home Decor*
Tell us about the type of Item#1- Kitchen*
Tell us about the type of Item#1- Lighting*
Tell us about the type of Item#1- Millwork*
Tell us about the type of Item#1- Plumbing*
Tell us about the type of Item#1- Windows*
Tell us about the type of Item#1:
Quantity (Item #1)*
Upload a photo of this item (Item #1)*

Max. 1 image per item
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Is there anything we need to know about this item?*
Do you have a second item to donate?*

YesNo
Tell us about the second item you would like to donate:*
Tell us about the type of Item#2- Appliances*
Tell us about the type of Item#2- Bathroom*
Tell us about the type of Item#2- Building Materials*
Tell us about the type of Item#2- Doors - Exterior*
Tell us about the type of Item#2- Doors - Interior*
Tell us about the type of Item#2- Flooring*
Tell us about the type of Item#2- Furniture Bedroom*
Tell us about the type of Item#2- Furniture - Dining Room*
Tell us about the type of Item#2- Furniture Living Room*
Tell us about the type of Item#2- Furniture - Home Office*
Tell us about the type of Item#2- Furniture - Outdoor Seasonal*
Tell us about the type of Item#2- Garden/Seasonal*
Tell us about the type of Item#2- Hardware*
Tell us about the type of Item#2- Heating and Vent*
Tell us about the type of Item#2- Home Decor*
Tell us about the type of Item#2- Kitchen*
Tell us about the type of Item#2- Lighting*
Tell us about the type of Item#2- Millwork*
Tell us about the type of Item#2- Plumbing*
Tell us about the type of Item#2- Windows*
Tell us about the type of Item#2:
Quantity (Item #2)*
Upload a photo of this item (Item #2)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
Do you have a third item to donate?*

YesNo
Tell us about the third item you would like to donate:*
Tell us about the type of Item#3- Appliances*
Tell us about the type of Item#3- Bathroom*
Tell us about the type of Item#3- Building Materials*
Tell us about the type of Item#3- Doors - Exterior*
Tell us about the type of Item#3- Doors - Interior*
Tell us about the type of Item#3- Flooring*
Tell us about the type of Item#3- Furniture Bedroom*
Tell us about the type of Item#3- Furniture - Dining Room*
Tell us about the type of Item#3- Furniture Living Room*
Tell us about the type of Item#3- Furniture - Home Office*
Tell us about the type of Item#3- Furniture - Outdoor Seasonal*
Tell us about the type of Item#3- Garden/Seasonal*
Tell us about the type of Item#3- Hardware*
Tell us about the type of Item#3- Heating and Vent*
Tell us about the type of Item#3- Home Decor*
Tell us about the type of Item#3- Kitchen*
Tell us about the type of Item#3- Lighting*
Tell us about the type of Item#3- Millwork*
Tell us about the type of Item#3- Plumbing*
Tell us about the type of Item#3- Windows*
Tell us about the type of Item#3:
Quantity (Item #3)*
Upload a photo of this item (Item #3)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
Do you have a fourth item to donate?*

YesNo
Tell us about the fourth item you would like to donate:*
Tell us about the type of Item#4- Appliances*
Tell us about the type of Item#4- Bathroom*
Tell us about the type of Item#4- Building Materials*
Tell us about the type of Item#4- Doors - Exterior*
Tell us about the type of Item#4- Doors - Interior*
Tell us about the type of Item#4- Flooring*
Tell us about the type of Item#4- Furniture Bedroom*
Tell us about the type of Item#4- Furniture - Dining Room*
Tell us about the type of Item#4- Furniture Living Room*
Tell us about the type of Item#4- Furniture - Home Office*
Tell us about the type of Item#4- Furniture - Outdoor Seasonal*
Tell us about the type of Item#4- Garden/Seasonal*
Tell us about the type of Item#4- Hardware*
Tell us about the type of Item#4- Heating and Vent*
Tell us about the type of Item#4- Home Decor*
Tell us about the type of Item#4- Kitchen*
Tell us about the type of Item#4- Lighting*
Tell us about the type of Item#4- Millwork*
Tell us about the type of Item#4- Plumbing*
Tell us about the type of Item#4- Windows*
Tell us about the type of Item#4:
Quantity (Item #4)*
Upload a photo of this item (Item #4)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
Do you have a fifth item to donate?*

YesNo
Tell us about the fifth item you would like to donate:*
Tell us about the type of Item#5- Appliances*
Tell us about the type of Item#5- Bathroom*
Tell us about the type of Item#5- Building Materials*
Tell us about the type of Item#5- Doors - Exterior*
Tell us about the type of Item#5- Doors - Interior*
Tell us about the type of Item#5- Flooring*
Tell us about the type of Item#5- Furniture Bedroom*
Tell us about the type of Item#5- Furniture - Dining Room*
Tell us about the type of Item#5- Furniture Living Room*
Tell us about the type of Item#5- Furniture - Home Office*
Tell us about the type of Item#5- Furniture - Outdoor Seasonal*
Tell us about the type of Item#5- Garden/Seasonal*
Tell us about the type of Item#5- Hardware*
Tell us about the type of Item#5- Heating and Vent*
Tell us about the type of Item#5- Home Decor*
Tell us about the type of Item#5- Kitchen*
Tell us about the type of Item#5- Lighting*
Tell us about the type of Item#5- Millwork*
Tell us about the type of Item#5- Plumbing*
Tell us about the type of Item#5- Windows*
Tell us about the type of Item#5:
Quantity (Item #5)*
Upload a photo of this item (Item #5)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
Do you have a sixth item to donate?*

YesNo
Tell us about the sixth item you would like to donate:*
Tell us about the type of Item#6- Appliances*
Tell us about the type of Item#6- Bathroom*
Tell us about the type of Item#6- Building Materials*
Tell us about the type of Item#6- Doors - Exterior*
Tell us about the type of Item#6- Doors - Interior*
Tell us about the type of Item#6- Flooring*
Tell us about the type of Item#6- Furniture Bedroom*
Tell us about the type of Item#6- Furniture - Dining Room*
Tell us about the type of Item#6- Furniture Living Room*
Tell us about the type of Item#6- Furniture - Home Office*
Tell us about the type of Item#6- Furniture - Outdoor Seasonal*
Tell us about the type of Item#6- Garden/Seasonal*
Tell us about the type of Item#6- Hardware*
Tell us about the type of Item#6- Heating and Vent*
Tell us about the type of Item#6- Home Decor*
Tell us about the type of Item#6- Kitchen*
Tell us about the type of Item#6- Lighting*
Tell us about the type of Item#6- Millwork*
Tell us about the type of Item#6- Plumbing*
Tell us about the type of Item#6- Windows*
Tell us about the type of Item#6:
Quantity (Item #6)*
Upload a photo of this item (Item #6)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
Do you have a seventh item to donate?*

YesNo
Tell us about the seventh item you would like to donate:*
Tell us about the type of Item#7- Appliances*
Tell us about the type of Item#7- Bathroom*
Tell us about the type of Item#7- Building Materials*
Tell us about the type of Item#7- Doors - Exterior*
Tell us about the type of Item#7- Doors - Interior*
Tell us about the type of Item#7- Flooring*
Tell us about the type of Item#7- Furniture Bedroom*
Tell us about the type of Item#7- Furniture - Dining Room*
Tell us about the type of Item#7- Furniture Living Room*
Tell us about the type of Item#7- Furniture - Home Office*
Tell us about the type of Item#7- Furniture - Outdoor Seasonal*
Tell us about the type of Item#7- Garden/Seasonal*
Tell us about the type of Item#7- Hardware*
Tell us about the type of Item#7- Heating and Vent*
Tell us about the type of Item#7- Home Decor*
Tell us about the type of Item#7- Kitchen*
Tell us about the type of Item#7- Lighting*
Tell us about the type of Item#7- Millwork*
Tell us about the type of Item#7- Plumbing*
Tell us about the type of Item#7- Windows*
Tell us about the type of Item#7:
Quantity (Item #7)*
Upload a photo of this item (Item #7)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
Do you have an eighth item to donate?*

YesNo
Tell us about the eighth item you would like to donate:*
Tell us about the type of Item#8- Appliances*
Tell us about the type of Item#8- Bathroom*
Tell us about the type of Item#8- Building Materials*
Tell us about the type of Item#8- Doors - Exterior*
Tell us about the type of Item#8- Doors - Interior*
Tell us about the type of Item#8- Flooring*
Tell us about the type of Item#8- Furniture Bedroom*
Tell us about the type of Item#8- Furniture - Dining Room*
Tell us about the type of Item#8- Furniture Living Room*
Tell us about the type of Item#8- Furniture - Home Office*
Tell us about the type of Item#8- Furniture - Outdoor Seasonal*
Tell us about the type of Item#8- Garden/Seasonal*
Tell us about the type of Item#8- Hardware*
Tell us about the type of Item#8- Heating and Vent*
Tell us about the type of Item#8- Home Decor*
Tell us about the type of Item#8- Kitchen*
Tell us about the type of Item#8- Lighting*
Tell us about the type of Item#8- Millwork*
Tell us about the type of Item#8- Plumbing*
Tell us about the type of Item#8- Windows*
Tell us about the type of Item#8:
Quantity (Item #8)*
Upload a photo of this item (Item #8)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
Do you have a ninth item to donate?*

YesNo
Tell us about the ninth item you would like to donate:*
Tell us about the type of Item#9- Appliances*
Tell us about the type of Item#9- Bathroom*
Tell us about the type of Item#9- Building Materials*
Tell us about the type of Item#9- Doors - Exterior*
Tell us about the type of Item#9- Doors - Interior*
Tell us about the type of Item#9- Flooring*
Tell us about the type of Item#9- Furniture Bedroom*
Tell us about the type of Item#9- Furniture - Dining Room*
Tell us about the type of Item#9- Furniture Living Room*
Tell us about the type of Item#9- Furniture - Home Office*
Tell us about the type of Item#9- Furniture - Outdoor Seasonal*
Tell us about the type of Item#9- Garden/Seasonal*
Tell us about the type of Item#9- Hardware*
Tell us about the type of Item#9- Heating and Vent*
Tell us about the type of Item#9- Home Decor*
Tell us about the type of Item#9- Kitchen*
Tell us about the type of Item#9- Lighting*
Tell us about the type of Item#9- Millwork*
Tell us about the type of Item#9- Plumbing*
Tell us about the type of Item#9- Windows*
Tell us about the type of Item#9:
Quantity (Item #9)*
Upload a photo of this item (Item #9)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
Do you have a tenth item to donate?*

YesNo
Tell us about the tenth item you would like to donate:*
Tell us about the type of Item#10- Appliances*
Tell us about the type of Item#10- Bathroom*
Tell us about the type of Item#10- Building Materials*
Tell us about the type of Item#10- Doors - Exterior*
Tell us about the type of Item#10- Doors - Interior*
Tell us about the type of Item#10- Flooring*
Tell us about the type of Item#10- Furniture Bedroom*
Tell us about the type of Item#10- Furniture - Dining Room*
Tell us about the type of Item#10- Furniture Living Room*
Tell us about the type of Item#10- Furniture - Home Office*
Tell us about the type of Item#10- Furniture - Outdoor Seasonal*
Tell us about the type of Item#10- Garden/Seasonal*
Tell us about the type of Item#10- Hardware*
Tell us about the type of Item#10- Heating and Vent*
Tell us about the type of Item#10- Home Decor*
Tell us about the type of Item#10- Kitchen*
Tell us about the type of Item#10- Lighting*
Tell us about the type of Item#10- Millwork*
Tell us about the type of Item#10- Plumbing*
Tell us about the type of Item#10- Windows*
Tell us about the type of Item#10:
Quantity (Item #10)*
Upload a photo of this item (Item #10)*

Max. 1 image per item
Cancelof
Is there anything we need to know about this item?*
And finally...
How did you hear about us?*

Internet SearchFriends or FamilySocial MediaRadio/TVE-Newsletter or E-MailVisited a RestoreDirect MailNewspaper or MagazineHomeshowOnline Advertisement
Would you like to make an optional $20 donation to help us offset the cost of our pick-up services?

No ThanksSure!Other Amount
How much you would like to Donate..?

Amount for Integration
Cash Donation-Item Type for Integration
INHOUSEPPURT
Cash Donation-Item Sub Type
Cash Donation-Quantity for Integration
OwnerID
ContentDocID
Cash Donation - $1 Product ID
Confirmation

I confirm that I have the right to donate the items listed above to Habitat for Humanity Great Toronto Area. We base tax receipt on fair market value (FMV), we normally determine the FMV through the re-sale of these items in our ReStore's which is the optimal way to determine the FMV according to Canada Revenue Agency’s strict guidelines. Once approved Habitat GTA will complete the removal of the items approved in a safe, workman like manner. Habitat GTA will not be responsible however, for any damage, howsoever caused to any attached or surrounding objects (e.g. walls, floors, stairs, elevators, hallways, etc.). Although Habitat GTA ReStore appreciates all offers of donations; there are some items that we can't accept. This also includes items that are broken, dirty, stained, water damaged or mildew. Please be advised that some items normally accepted can be overstocked, and may not be accepted from time to time. To be considered all items must be in working condition. If you need more detailed information on what we do accept please visit our website at: www.habitatgta.ca/restore.
Confirmation of Understanding*
Address

Street Address

Street Address Line 2

CityProvince

Postal Code (Format A1A 1A1)
Please verify that you are human*
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