Donations Form

Name

Phone

What type of items are you donating?

Glassware (Bottles, jars, vases, cups, etc)

Dishes/Ceramics

Electronics

Other

If marked other, please explain here:

Can you confirm that the items are not:

Hazardous materials (chemicals, paint cans, aerosols, fuel, etc)

Items with personal information (documents, files, ID's)

Anything that is sharp/unsafe to handle during setup

Items with strong odors, mold, or pests

Pick-Up or Drop-Off

Preferred dop-off or pick up date:

Preferred drop-off or pick-up time:

Pick-Up Address (If Applicable)

Upload a photo of donation items (Optional)

173 N. Chicago St Joliet, IL 60435

ragecagejoliet@gmail.com

ragecagejoliet.com