Full Name*
Email Address
Telephone Number*
Preferred time call back
Please provide a brief description of furniture to be collected*

What condition is the furniture in?

Used

Excellent

Good

New

What age is the furniture?

Less than 5 years old

5 - 10 years old

10 years old +

I confirm that all soft furnishings have fire labels attached. I understand that goods need to be in a saleable condition and complies with safety requirements.*

I understand that items may be declined at the point of collection if they are items that St. Margaret’s Hospice is unable to sell.

Address

Would you like to Gift Aid?

Yes

No

If yes are you already signed up to Gift Aid?

Yes

No

Unsure

Gift Aid reference number if known
Shop ID

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