Mike Haines Thrift Store

1234 W Main, Stroud, Ok 74130
(918)493-7200

Mike Haines Thrift Store

1234 W Main
Stroud, Ok 74130

(918)493-7200

mhthrift.thriftstorewebsites.net

Schedule Donation Pickup

Fill out the form below and we will contact you if we are available to schedule a pickup of your donations during your specified times.

Form - Schedule Pick-up Form

Name (required)
First Name (required)	Last Name (required)

Address of Pick-up (required)
Street Address (required)


City (required)	State/Province (required)	Zip/Postal Code (required)
,

Phone (required)
Phone Type	Phone Number (required)

E-Mail Address (required) :

What will you be donating? (This is so we know how much room on the truck we need.) (required)

I need a receipt for tax purposes

Month (required)
(Please select a month)
Jan
Feb
March
April
May
June
July
Aug
Sept
Oct
Nov
Dec

Day (select all that apply so that we have other options in case we have other pick-ups scheduled) (required)
(Select any dates that apply)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31

Year (required)
(Please select Year)
2010
2011
2012
2013

Times (select all that apply so that we have other options in case we have other pick-ups scheduled) (required)
(Select any times that apply)
8am
8:30am
9am
9:30am
10am
10:30am
11am
11:30am
12pm
12:30pm
1pm
1:30pm
2pm
2:30pm
3pm
3:30pm
4pm
4:30pm
5pm
5:30pm
6pm
6:30pm

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Mike Haines Thrift Store

1234 W Main, Stroud, Ok 74130 (918)493-7200