Consumer Request

Fill in the form below.

Non-Clothing items by request only.
We have a waiting list for many items. Fill in the items your need below, or check the appropriate box, and we will contact you if we are able to supply what you need.
Tell us your story?

What do you need?

Washer Dryer Fridge Freezer Table

Chairs Chair Couch Love Seat Desk Cabinet

Clothes
Misc.
Other
If Misc. or Other, please Discribe below.
"Note: The Lions Den Everything Exchange does not donate Money to Consumers."
Misc.

Other

YOUR CONTACT INFORMATION:

Name
Address
City
State
Zip Code
Phone Number
Cell Number
Email Address
Best Time to Call?

Disclaimer:
By sending this form, you acknowledge that items received from the Lions Den Everything Exchange are donated by the general public, and that the Lions Den Every Thing Exchange is not responsible for death, injury, harm, or health issues related to anything that the consumer has taken or received from the Lions Den Everything Exchange Program.



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