Test form for Jim from Cami Furniture Donation Pickup Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Today's Date* Please enter the date the order is being placed.Name First Last Primary Phone*Secondary Phone*DRIVERS MAY ACCEPT OR REJECT DONATIONS!You must understand that our drivers have our full authority to accept or reject any donation that they know is not sellable. If they reject something you say we approved in a photo, we support their on site judgement. Please understand this before you donate to us.Primary Email Address* Select Best Date for Furniture Pickup* Apr.23 Apr. 24 Apr. 25 Apr. 26 Apr. 27 Please indicate the best date for your pick up from the selection of dates listed above. We will notify you of the date we select for the pickup and we will call or email you with a 3-hour time window when we will be at your residence on the date selected. We will update our pick up date options on a weekly basis. Please provide us with 3 pickup date options.Total Number of ItemsPlease enter a value between 1 and 10.Note that we do not take box springs or any kind of mattresses as donations. We do not accept sofa beds. We will not accept large desks that are difficult to carry. We also do not accept desks longer than 40 inches. Please review items we can't sell in the box below. Please provide us with the name of the item and the total number of items you want to donate. Please remember that our drivers have the authority to reject any donation if the item being donated doesn't match the photo sent to SVdP.Describe Items & Note Items We Reject--We Can't Sell List BelowWe do not take any of the items below as donations: Air conditioners, Poisonous or hazardous material (acids, pesticides, paints, oils) Anything needing repair or reupholstering, Anything with stains, Automobile Parts Baby items – cribs, play pens, high-chairs, or car seats, changing tables, safety gates --- due to safety regulations, Baseboard or gas heaters, Bathroom chairs or shower chairs, Bath tubs, Captain or platform bed frames, Car batteries, Carpets --- no remnants, Copy machines, Desks longer than 40 inches or very large and heavy desks, Detergents or cleaners, Entertainment centers, Fireplace inserts, Flammable Products, Furnaces, Hospital beds, Hot water tanks, Mattresses or box springs, large household appliances including washers, dryers, refrigerators, freezers, Liquids of any kind, cleaning supplies, poisonous fluids, Microwaves older than five years, Paint, Ping-Pong tables, Pool tables, Sofa beds, Shower doors, Single pane windows, Sinks, Swing sets, Tires, Toiletries, Toilets, Waterbeds Please upload up to photos for us to review. File types accepted are jpg, gif, png, pdf.FileFileFileFileFileFile