Pickup Request Form Donation Pick Up Request Use this form to request a donation pick up from Renesting staff & volunteers. 1Furniture Pre-Screening Questions2Donor Agreement Statements3Donation Information Thank you for choosing Renesting Project, Inc.! We offer a $35 pick-up service for donors in the SBC that cannot transport themselves. Begin with the Pre-Screening Questions below to start the Pick-Up Request.Answer the below questions to find out if you qualify for our Free Donation Pick Up Service.Have you verified that the items you want picked up are on our Donation Checklist?(Required) Yes, I have verified my items are on the Donation Checklist. No, I have not looked at the Donation Checklist. Do you have two or more pieces of furniture that will not fit in the trunk of a car?(Required) Yes, my items are too big for my car! No, my items could fit in my car. Can all furniture pieces be lifted, carried, and maneuvered into a truck by 2 or fewer people?(Required) Yes, two people could load my items. No, my items are large, heavy, and would require more than two people. Do any of the items have broken or chipped glass, any stains, tears, or excessive pet hair that may be difficult to remove?(Required) Yes, one or more items have damage. No, all the items are in good condition. Have any of the items been left outside at any time, wet at any time, or ever had a pest infestation of any kind (fleas, lice, mice, roaches, bedbugs, etc.)?(Required) Yes, one or more items have been left outside, wet, or experience infestation. No, all items have remained indoors, stayed dry, and been free of pests. At the time of pick up, will all items be located on the ground floor or within 20 feet of an operational elevator that will fit the items?(Required) Yes, my items are on the first floor or within 20 feet of an elevator. No, my items are located upstairs. Sorry! We are unable to provide donation pickup services for you at this time. Thank you for thinking of Renesting Project and please keep us in mind for any future donated items! Read the following statements regarding our $35 Donation Pick Up Policies.There is a $35.00 charge for all furniture pickups! – Payments are processed online via this request form and are non-refundable for cancellations not made with notice one business day prior, items deemed unacceptable on site, and for not appearing during appointments.(Required) I understand and agree to pay the $35.Renesting’s Donation Pick Up Service currently operates on Wednesdays and one Saturday a month depending on need and demand. I understand that I will need to be available at the time of my pick up.(Required) I understand and agree to be available.Renesting reserves the right to refuse items based on condition, location, size, or functionality.(Required)PLEASE NOTE THE $35 IS NOT REFUNDABLE IF ITEMS ARE REFUSED ON SITE. PLEASE CALL US IF YOU HAVE ANY QUESTIONS. I understand.Renesting staff will not: haul off trash, disassemble any furniture, pack my household items for donation, transport items to other organizations, move furniture into my home, or carry furniture down any flights of stairs.(Required) I understand and agree not to ask for these services.Wait times vary and Renesting cannot accommodate all deadlines.(Required) I understand.Renesting’s Donation Pick Up Service is currently only available in Shreveport-Bossier and the surrounding areas. I understand that my request may be denied or delayed based on my location.(Required)IF YOU HAVE ANY QUESTION THAT WE COME TO YOUR AREA PLEASE CALL US TO VERIFY BEFORE PAYING THE $35!! I understand.I understand that a Renesting Project staff member will call me the day before and the day of my scheduled pick up. I understand that failing to answer or return this call quickly will result in my appointment being skipped. I understand that the call on the day of my pick up may come from a personal cell phone and that I will not call or text that phone number after my pick up service is complete.(Required) I understand.We are unable to provide pickup service to you at this time. Thank you for thinking of Renesting Project and please keep us in mind for any future donated items! Please complete the following fields.Name(Required) First Last Primary Phone Number(Required)Please provide your phone number so we can contact you to schedule a pick up.Additional Phone NumberIf you're scheduling this pick up on behalf of someone else or if someone other than yourself will be at the home for the pick up service, please also provide their phone number.E-mail Address Address(Required)Please provide the address from which you need the furniture picked up. Renesting Project reserves the right to reject or delay requests based on location. Street Address Address Line 2 City ZIP Code DeadlinePlease let us know if you have to have the furniture out by a certain date. We cannot make any promises but will try to accommodate your deadline. Furniture(Required)Select all that apply. Please select the statements that best describe the furniture pieces you are needing picked up. Sofa (3 cushions wide) Loveseat (2 cushions wide) Upholstered Chair or Recliner End table or Nightstand Coffee table TV Stand Dining Table (without chairs) Dining Table (with chairs) Dining Chairs (without an accompanying table) Chest of Drawers or Dresser Bed Frame (we do NOT accept King or TXL) Desk Mattress or Boxspring (T, F, or Q only. Cannot have a single stain or tear.) Household Items(Required)Do you have any household items that you would like picked up while we are there loading the furniture? Yes No Please keep in mind that all household items must be boxed or bagged for us to load them. Things like lamps are the only exception.Best Day(Required)Which of the following best represents your availability? Wednesdays 4th Saturday I can make either work. Please add any additional comments or concernsLast questions! Please tell us anything else we may need to know about the location, the furniture, or you!Pick Up Service Fee(Required)We charge $35 for our pick up service. Price: Credit Card Check Out(Required)Use the form below to complete your monetary donation.Card Details Cardholder Name CommentsThis field is for validation purposes and should be left unchanged. Δ