Atlanta Kiosk Donation Form First Name* Last Name* Address* City* State* AlaskaAlabamaArkansasArizonaCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIowaIdahoIllinoisIndianaKansasKentuckyLouisianaMassachusettsMarylandMaineMichiganMinnesotaMissouriMississippiMontanaNorth CarolinaNorth DakotaNebraskaNew HampshireNew JerseyNew MexicoNevadaNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWisconsinWest VirginiaWyoming Zip Code* Email Address* Phone Number* How did you hear about us?* BillboardInternet SearchFlyer or MailerAt an EventWalk InSocial MediaNewspaper/MagazineTV or RadioTesting VanWord of MouthReturning CustomerOther Items you are donating:* FurnitureBric-a-bracBooks/CDsClothingElectronicsAntiques/CollectiblesJewelryHousewares Does the Fair Market Value exceed $500?* YesNo