Please complete the following information and submit. A Northwest Center customer service representative will be in touch with you within the next business day to schedule your donation pick-up.

Donate Clothing

To ensure that we schedule your pick-up for the correct truck and day, please let us know the following…

Are you responding to:
Yellow Card

	Route # (ex: 98103A)
	Your route number is your zip, plus an assigned letter. It can be found in red on the bottom right corner of the yellow card, right next to your pick-up date.
	Pick-up Date on Card

E-mail Notification

Pick-up Date in E-mail

Neither, I am initiating this new request

First Name
Last Name
Address Line 1
Address Line 2
City
State (ex: WA)
Zip Code + 4 Postal Code	+
Cross Street (ex: N 34th and Blaine)
E-mail Address
By providing your e-mail address, you are giving us permission to contact you with reminders and updates about our e-services. Review our donor privacy policy.
Home Phone (area code) prefix - suffix	( ) -
Work Phone (area code) prefix - suffix	( ) -
How Many Bags/Boxes?	Choose One... 1-5 bags/boxes 6-10 bags/boxes 11-15 bags/boxes 16-20 bags/boxes 21-25 bags/boxes Over 25
How Did You Hear About Us?	Choose One... E-mail Newspaper Phone Call Radio Saw Blue Truck TV Yellow Card Other
Directions
Use this area to give us directions to your house if it is hard to find. Please include the name of the subdivision, building or condominium and if there are special instructions on entering the complex or gate access code.