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Title
—Please choose an option—Ms.Mr.Miss.Mrs.Mx.Dr.

First Name *

Last Name *

Pick-up address

Street Address *

Address Line 2

City *

Province *

Postal Code *

Phone *

Email *

Confirm Email *

Detailed Description of item(s) *

Add up to 5 Photos
First File

Second File

Third File

Fourth File

Fifth File

Is this a business or personal donation? *
BusinessPersonal

Business name (if applicable)

Would you like a tax receipt?
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tax receipts are issued for the ReStore value of your donation(s) valued at $100.00 or more.

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—Please choose an option—Internet SearchFriend or FamilyTV/Radioe-Newsletter or e-mailVisited a ReStoreDirect MailNews paper or MagazineHomeshowOnline ad

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—Please choose an option—BracebridgeHuntsvilleOrilliaMidlandSudbury