Donation Form

Personal Information

Last Name

First Name

Street Address

City

State

Zip Code

Donation Receipt Emailed to You?

Email Address

Can We Send You a Text Message?

Phone Number

Donation Going Towards a Voucher Organization?

Voucher Organization Name

Donor Signature
Items Donated (Number Only)

Box(es) / Bag(s) of Shoes

Box(es) / Bag(s) of Clothes

Box(es) / Bag(s) of Books

Box(es) / Bag(s) of Misc

Coffee / End Table

Dresser

Computer

Stove

Washer

Bookshelf

Table

Chair

Couch

Picture

Mirror

Bed

Desk

Refrigerator

Dryer

Lamp

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

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.

Donation Location

Add location
Date and time the donation was made.

Was the attendant / driver courteous?

Were your offered help unloading your donation

Any additional comments / suggestions you wish to make?

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.