Furniture Collection Enquiry Form - St Richard's Hospice

Name*

First Last

Address*

Street Address Address Line 2 City County / State / Region Post Code Country

Telephone number:*

Email*

Please provide us with a description of your furniture*

Please upload a picture of your furniture here*

Drop files here or

If your furniture is upholstered, or re-upholstered, is there a fire label attached?*

Do you have a date of purchase receipt no later than 1985?*

Unfortunately, we are not able to collect your upholstered item if there is no fire label attached or purchase receipt.

Please let us know when you would like your item collected by

Gift Aid

Using Gift Aid means for every £1 raised from the sale of your goods, we can claim an extra 25p, helping your donation go further.

Are you signed up to the shop's Gift Aid scheme?*

Please add your shops Gift Aid number*

This is a 13 digit number

Are we able to claim Gift Aid on your donated item by signing up?

Please read*

I am a UK taxpayer and understand that, if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference. Please let us know if you: Want to cancel the declaration, change your name and address, no longer pay sufficient tax on your income and/or capital gains.

To help us collect promptly, easy access would be appreciated (i.e. items left in the garage, if possible). For further guidance on your furniture donation, please call the shop directly. You can find contact information for our shops here: www.strichards.org.uk/our-shops Thank you.

This form will record your name, email address and any other details you have entered so that we may contact you directly to respond to your enquiry. This data will be deleted from our website after 30 days.