Fields marked with an * are required

Please enter your full name

Please enter the address you want your item/s collected from

Please enter your contact details

Please give us a detailed list of the item(s) you want collected

Think about the size of items and quantity. i.e (2 large items - a sofa and an armchair, 1 small item - a lamp)

Best time of day for collection

Please tick ALL to confirm you have read our guidelines on what can be donated

Would you like to Gift Aid your donation?

Are you already registered for Gift Aid with Cornwall Hospice Care?