General Infomration
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Donation Location
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Add location
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Document No.
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Conducted on
Donation Form
Personal Information
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Last Name
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First Name
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Street Address
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City
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State
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Zip Code
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Donation Receipt Emailed to You?
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Email Address
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Can We Send You a Text Message?
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Phone Number
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Donation Going Towards a Voucher Organization?
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Voucher Organization Name
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Donor Signature
Items Donated (Number Only)
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Box(es) / Bag(s) of Shoes
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Box(es) / Bag(s) of Clothes
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Box(es) / Bag(s) of Books
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Box(es) / Bag(s) of Misc
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Coffee / End Table
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Dresser
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Computer
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Stove
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Washer
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Bookshelf
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Table
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Chair
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Couch
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Picture
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Mirror
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Bed
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Desk
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Refrigerator
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Dryer
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Lamp
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Other Items Donated Not Listed Above:
Satisfaction Survey
Goodwill Industries of Southwest Oklahoma and North Texas, Inc. Thanks You! All donations become the property of Goodwill Industries
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Your opinion is very important to us. Please take a few moments to share your comments on our customer service Thank you for your time, donation and ongoing support to Goodwill Industries.
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Donation Location
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Add location
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Date and time the donation was made.
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Was the attendant / driver courteous?
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Were your offered help unloading your donation
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Any additional comments / suggestions you wish to make?