Collections

Monday 4^th April 2005

(We are unable to give a time)

Date name and address taken………………….

Name ……………………………………………………………..

Address………………………………………………………………….

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Any land marks that will help the driver………………………………

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If the customer is not at home please state the location of the donation (porch, shed, side of house etc.) …………………………………………………………………………….

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Telephone Number …………………………………………………………………………….

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The collection has been made from

Date…………………………………………………………………….....

Signature of person making the collection……………………………