Donation Receipt

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Donate Electronics
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Donation Receipt
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Request a Donation Confirmation Receipt

This field is for validation purposes and should be left unchanged.

Are you donating from a business?(Required)

Yes

Business Name(Required)

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP / Postal Code

Join our VIP Program(Required)

Yes, I want to join San Diego Goodwill's VIP Program

No, thank you. I do not want to join

Goodwill Location Type(Required)

Goodwill Retail Location(Required)

Goodwill Donation Center Location(Required)

Goodwill Outlet Center Location(Required)

Date(Required)

Please enter the donation date.

Donated Items(Required)

Clothing/Textiles

Books

Housewares

Furniture

Electric (Lamps/Small Appliances/Items with Plug)

Other

Not applicable

Box or Bag of Clothing/Textiles(Required)

Box

Bag

Box Quantity of Clothing/Textiles(Required)

Bag Quantity of Clothing/Textiles(Required)

Box or Bag of Books(Required)

Box

Bag

Box Quantity of Books(Required)

Bag Quantity of Books(Required)

Box or Bag of Housewares(Required)

Box

Bag

Box Quantity of Housewares(Required)

Bag Quantity of Housewares(Required)

Quantity of Furniture(Required)

The number of items donated that are not in a bag or box.

Quantity of Electric (Lamps/Small Appliances/Items with Plug)(Required)

The number of items donated that are not in a bag or box.

Quantity of Other Items(Required)

The number of items donated that are not in a bag or box.

Describe the Donation(Required)

Brief description of the donation. Under 150 characters.

Are you donating any electronic items?(Required)

Yes

What type of electronic items are you donating?(Required)

Computers

Televisions

Other Large (CRT) or Flatscreen (LCD) Over 4 inches

Phones/PDA

Covered Electronic Devices

Computer Items(Required)

CRT Monitor (Boxy)

Flatscreen Monitor (Plasma/LCD)

Laptops/Notebooks (Flatscreen)

Towers/CPU/Hard Drives/Thumb Drives

Servers/Network Equipment

Printers/Scanners/Fax/Copier

Racks/Empty Cases/Metal Scrap

Parts (Boards/Memory/Video Cards)

Cables/Power Cords/Power Supplies

Keyboard/Mice/Speakers/Etc.

Television Items(Required)

CRT TV (Boxy & Console)

Flatscreen TV (LCD/Plasma)

Other Large (CRT) or Flatscreen (LCD) Over 4 inches(Required)

Scientific/Medical Device

Game Consoles (DS, Switch, Playstation, Nintendo, Wii, etc.)

Tablets (iPad), DVD player w/screen, Karaoke Machine, etc.

Phone/PDA(Required)

Cell Phone (Smartphone/Flip Phone)

Telephone (Corded or Cordless)/Switchboards

Misc. Phone System Parts

(Not Phones) Old Blackberries, GPS, etc.

Covered Electronic Devices(Required)

Radio/Stereo/Boombox/CD Player/Receiver

VCR/DVD Players (no screens)

Microwaves Only

Other

Quantity of CRT Monitor (Boxy)(Required)

Residential Donors

Please enter a number from 1 to 4.

Quantity of CRT Monitor (Boxy)(Required)

Quantity of Flatscreen Monitor (Plasma/LCD)(Required)

Residential Donors

Please enter a number from 1 to 4.

Quantity of Flatscreen Monitor (Plasma/LCD)(Required)

Quantity Laptops/Notebooks (Flatscreen)(Required)

Residential Donors

Please enter a number from 1 to 4.

Quantity Laptops/Notebooks (Flatscreen)(Required)

Quantity of Towers/CPU/Hard Drives/Thumb Drives(Required)

Quantity of Servers/Network Equipment(Required)

Quantity of Printers/Scanners/Fax/Copier(Required)

Box or Bag of Racks/Empty Cases/Metal Scrap(Required)

Box

Bag

Total Quantity of Boxes/Bags(Required)

For Racks/Empty Cases/Metal Scrap

Box or Bag of Parts (Boards/Memory/Video Cards)(Required)

Box

Bag

Total Quantity of Boxes/Bags(Required)

For Parts (Boards/Memory/Video Cards)

Box or Bag of Cables/Power Cords/Power Supplies(Required)

Box

Bag

Total Quantity of Boxes/Bags(Required)

For Cables/Power Cords/Power Supplies

Box or Bag of Keyboard/Mice/Speakers/Etc.(Required)

Box

Bag

Total Quantity of Boxes/Bags(Required)

For Keyboard/Mice/Speakers/Etc.

Quantity of CRT TV (Boxy & Console)(Required)

Residential Donors

Please enter a number from 1 to 4.

Quantity of CRT TV (Boxy & Console)(Required)

Quantity of Flatscreen TV (LCD/Plasma)(Required)

Residential Donors

Please enter a number from 1 to 4.

Quantity of Flatscreen TV (LCD/Plasma)(Required)

Quantity of Scientific/Medical Device(Required)

Residential Donors

Please enter a number from 1 to 4.

Quantity of Scientific/Medical Device(Required)

Quantity of Game Consoles (DS, Switch, Playstation, Nintendo, Wii, etc.)(Required)

Residential Donors

Please enter a number from 1 to 4.

Quantity of Game Consoles (DS, Switch, Playstation, Nintendo, Wii, etc.)(Required)

Quantity of Tablets (iPad), DVD player w/screen, Karaoke Machine, etc.(Required)

Residential Donors

Please enter a number from 1 to 4.

Quantity of Tablets (iPad), DVD player w/screen, Karaoke Machine, etc.(Required)

Quantity of Cell Phone (Smartphone/Flip Phone)(Required)

Quantity of Telephone (Corded or Cordless)/Switchboards(Required)

Box or Bag of Misc. Phone System Parts(Required)

Box

Bag

Total Quantity of Boxes/Bags(Required)

For Misc. Phone System Parts

Quantity of (Not Phones) Old Blackberries, GPS, etc.(Required)

Quantity of Radio/Stereo/Boombox/CD Player/Receiver(Required)

Quantity of VCR/DVD Players (no screens)(Required)

Quantity of Microwaves Only(Required)

Other Electronic Covered Devices(Required)

What is the name of the device(s)?

Quantity of Other Electronic Covered Devices(Required)

Residential donors may only donate a total of 4 CRT/LCD.

This field is hidden when viewing the form

Total of Electronic Items (CRT/LCD (residential donors)

*Required information for donations of electronic items above: I understand that I must provide my complete name, address, business, phone, and signature if I wish to donate the electronics above and that the California CalRecycle staff may contact me to confirm and validate this donation. 4 maximum CRT/LCD (residential donors). The information you provide will not be used for marketing purposes and will be kept confidential.(Required)

I certify that the quantity and description of electronic items on this form are what I donated to Goodwill today and that these items were used in the State of California by the donor or business listed above for their intended purpose.

Signature(Required)

Your Name
Your Name
Your Name