Big Brothers Big Sisters of the Midlands Pickup Form

Email *

Full Name *

Primary Phone Number *

Primary Phone Type cell work home other

Secondary Phone Number

Secondary Phone Type cell work home other

Street Address *

City *

Zip Code *

Notes to Driver

•    Curbside (preferred) - Thanks for helping our driver!
•    On Porch - Must be visible from street.
•    In Front of Garage - Must be visible from street.

If items are in your garage, please call us at (402) 733-4328 to schedule an appointment

Description of Items to Donate (check all that apply):

•   Misc Items
•   Clothing and shoe donations

Clothing and shoe donations

•    1-5 boxes or bags
•    5-10 boxes or bags
•    10-20 boxes or bags
•    More than 20 boxes or bags (truckfull)

Sorry, we do not accept large appliances.

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