Collection Request Form

Complete the form and click submit at the bottom of the page to request a call back to arrange collection of your unwanted items.

Please contact me to arrange collection of the following items (please list):

(All items should be clean, unstained and suitable for resale. By law, upholstery and beds must have fire labels attached)

Title:

First Name: *

Surname: *

Address: *

Postcode: *

Email:

Contact telephone number (mobile or landline with area code): *

Gift Aid:

Please tick here if you are a UK taxpayer and would like to gift aid your donation to provide more funds for charity at no cost to yourself.

I want all donations I've made since 6th April 2006 and all donations in the future to qualify for gift aid until I notify you otherwise. I am a UK taxpayer, paying an amount of income tax or captial gains tax for each tax year (6th April one year to 5th April the next) at least equal to the amount YMCA will reclaim on my donations for that tax year. I agree to notify the YMCA if my address or circumstances change.