Maui Donation Pick-up Request Form

We will gladly pick your gently used item for a $10 donation payable upon confirmation of pick up.

* Required Field

Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Please describe your donation:
Upload Images*
Drop files here or

Accepted file types: jpg, gif, png, pdf.