Donation Request

Please note that submitting a request for a donation does not guarantee that your request will be fulfilled. Due to high volume of donation requests we receive, we kindly ask that you refrain from following up on your request.

***Our team will review your submission and contact you if your request has been selected.***

Typical response time is within 7-10 business days. Old Brick does not accept donation requests by mail or in-person at showroom locations or for organizations outside our immediate trade area (Southern, VT, Western, MA Rochester, NY and the Upstate, NY region). Thank you for your cooperation.

Name of Organization ^*

Please enter your name of organization

Street Address ^*

Please enter your street address

City ^*

Please enter your city

State / Province ^*

Please enter your state / province

Postal / Zip Code ^*

Please enter your postal / zip code

Country ^*

Please enter your country

Main Phone ^*

Please enter your main phone

Alt Phone ^*

Please enter your alt phone

Email Address ^*

Please enter your email address

Donation Item Requested ^*

Gift Card

Furniture

Mattress

Event Sponsorship

Other

Please choose your donation item requested

Donation needed by date -OR- Event Date ^*

Please enter a valid date

Do you have friends or family that work at Old Brick Furniture? ^*

Yes

Please choose your do you have friends or family that work at old brick furniture?

If so, please tell us their name:

Please enter your if so, please tell us their name:

Request Details ^*

Please enter your request details

* indicates a required field

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Donation Request