Please help me

I am restarting.
Please consider me for assistance...

To enable us to help you correctly, please answer ALL the questions below.
Please note: While we DON’T bring brand NEW furniture – we won't bring rubbish.
We supply high quality second-hand/reconditioned items.

* Indicates required field

Full name *

First

Last

Phone number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

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How many People are there in your group? *

Child 1 M/F Age ? *

Child 2 M/F Age? *

Child 3 M/F Age ? *

Child 4 M/F Age? *

Are you restarting after: *

If you are escaping DV is there an AVO in place ? *

Can you please provide a brief description of your situation: *

What Furniture do You require ? *

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