Application

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Reservation Form

Please fill out the following form and send to us. With any questions, please contact our office at (732) 396-0357.

If You're already our customer, please login first here *** All information for office use ONLY ***

Field with * are required

School / Organization information 
Have you collected clothing for us before? *: Yes No
School / Organization name *:
Address *:
Town *:
State *:
Zip code *:
County *:
Phone *:
Fax:
Contact Person Information 
Contact person is required to contact our office a day before scheduled pick up to confirm 
Contact Person name (available on pick up day) *:
Home phone:
Work phone:
Email address *:
Cell phone:
Login & password 
Login:
Password:
Repeat password:
Collection Information 
Make check payable to:
Send check to *:
*** Requested date of collection:
*** Requested time of collection:
We encourage you to include an alternative date for a pick-up that would best work for you.
We will try our best to suit your first choice of pick-up. Please consider we have a busy schedule and are trying our best to make this work to fit everyone's schedule. 
*** Alternate date of collection:
*** Alternate time of collection:
*** Pick up time may vary due to the traffic conditions *** 
Will you provide any help with putting bags into the truck? *: Yes No
Collection *: Inside  Outside 
Carts needed? *: Yes No
Remarks:
IMPORTANT 
* Minimum 100 bags per pick up. If collection is less than 100 bags, A&E Clothing Corp. reserves right to reschedule pick up date for more convenient time (once having another pick up in the area).* 
* Minimum for CT, DE, RI, MD is 200 bags per pick up due to the greater distance. * 
*Approx. count of collected bags is required to be reported to our office at # 732-396-0357 prior to arrival of our truck.* 
***Please note that all clothing has to be in wearable usable condition *** 
We will not pick up wet clothing. 
If You have any problem with above electronic form, please download, print and fax or email us this application: >>reservation.pdf<<