Thrift Store Pick-Up Form
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ACTS Thrift Stores Donation Pick-Up Form

If you do not receive a response within 4 days, please call 703-490-9697.

Date Requested:
Name:
Address:
Email:
City:
State:
Zip:
Work Phone:
Cell Phone:
Home Phone:
Delivery Area:
Items to be picked-up:
Additional Instructions:
 

 
   

 

 

 

 

 

 
P.O.Box 74 Dumfries VA 22026 Phone 703-441-8606 FAX 703-221-3585