ReStore Donation Request Form

Thank you for your generosity. We truly appreciate your desire to support the Habitat mission!

Please fill out the form below as accurately as possible. Photos are required. We are unable to provide pickup times until the business day prior to your scheduled pickup (two-hour window). Our pickup schedule usually books out three to five business days; however, there are times that we can fit you in sooner.

Once you have completed this form, hit submit. You will receive a response from our Donation Hotline Department within 1-2 business days. For faster response times, please send during our donation department hours; Monday – Saturday 10 AM - 6 PM.

Clearwater Location: 13355 49th St N, Ste B, Clearwater

Please note: The New Port Richey location has moved to 6431 US Highway 19. We will celebrate it's Grand Reopening on May 13th & 14th, 2022. Click here to learn more.

Donation Contact Person *

First Name Last Name

Email *

example@example.com

Preferred Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

We service Pinellas and Pasco. Which county are you located in? *

Location Type *

House Apartment Condo/Townhouse Business

What is being donated? *

Please submit at least 2 photos. If you have additional photos, please email them to pickup@habitatpwp.org.

*

Browse Files

*

Browse Files

How did you hear about us?

Website Word of Mouth Social Media Friend or Family Member Community Event

I have read and understand the new donation rules put in place as safety measures for COVID-19. *

Yes No

I agree to opt into email communications with the ReStore.

Yes No

ReStore Donation Request Form

Donor Contact Information

Donation Information