CIRENCESTER COLLECTIONS FORM

Please fill out this collections form with as much detail as possible and submit. We aim to reply within 3-4 business days to all submissions. Thank you!

Collection form Stroud? Click here

Name

First Name

Last Name

Email

Phone number

(###)

###

####

Other than furniture

Do you have any Bikes or Kids items you would like to donate?

Yes

No

Number of Items to be donated?

Please list items to be donated

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

How would you like to be contacted?

CIRENCESTER COLLECTIONS FORM

Cirencester Grace Network, 29 - 35 Market Place, Cirencester GL7 2NX

+44 0786 772 0921 | ciren@thehomeremedy.org.uk

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