Furniture – Donate/Request/Serve Today's Date Date Format: MM slash DD slash YYYY Name* First Last Phone Number*Email* Enter Email Confirm Email Are you:*Requesting furnitureDesiring to donate furnitureLooking to volunteerList address of furniture to be picked up or delivered:* Street Address City State / Province / Region ZIP / Postal Code Description of furniture donation or furniture needs:*What caused this issue to arise?*Number of parents in household?*Number of working parents in household?*Race of primary parent in household?*Number of children in household?If any children, number of boys.If any children, number of girls.Are you a Victory member?*YesNo Today's Date Date Format: MM slash DD slash YYYY Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*I will allow film or photography when drop-off is made?*YesNoHow would you like to participate with the furniture drive?*DonateReceiveIf married, spouse’s Name: First Last Child name wanting to serve:Items donating* Dresser(s) Bed(s) Dining Set(s) Sofa(s) Chair(s) Coffee Tables End tables Recliners Night Stands Some Beds (Limited and First Come, 1st Serve) Child age wanting to serve?*101112131415161718Items requesting* Dresser(s) Bed(s) Dining Set(s) Sofa(s) Chair(s) Coffee Tables End tables Recliners Night Stands Some Beds (Limited and First Come, 1st Serve) ** If donating, upload photos of what you would like to donate* Drop files here or Accepted file types: jpg, gif, png, pdf.
