HGRM Furniture Pickup Request Form

HGRM picks up furniture by scheduled appointment on Tuesdays, Wednesdays, Thursdays and Saturdays from 9am - Noon.
We pickup in Acton, Boxborough, Concord, Carlisle, Littleton, Maynard, Stow, Sudbury and Westford. We pickup in Lexington and Lincoln once a month. Depending on your location, we usually have a 2 to 4 week lead time.

Note: All donated items must be in good working condition. See List of items we do not accept and List and guidelines for items we do accept (please note we are unable to pickup certain items on this list).

Name:
Street Address, Apt#:
Town:	Select a town:
Pickup Address (if different):
Town:	Select a town:
Requested Pickup Date:
Last Possible Pickup Date:
Phone Number:
email address:
Brief Furniture Description:
Comments:
How did you hear about HGRM?:

Revised January 20, 2012