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New Agency Information Request
Complete the information below to receive information on how your agency can become a Referring Agency with us. Currently we are only reviewing requests from new agencies in DuPage County. Our volunteers are unable to check the status of the wait list application.
Requests will only be honored if made by the manager/supervisor responsible for managing possible referring agents at the location listed.
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Your Name
Your Agency Name
Your Business Email Address
Your Job Title
Your Business Phone Number
Is Your Organization a 501c3? Yes No
Organization's Mailing Address
What County Are You Located In?
What Geograhic Area Do You Serve?
Tell Us About Your Agency
By clicking the I AGREE button below, you understand that this online application does not guarantee approval. All fields are required to be filled out completely. Applications received with personal email addresses will not be considered.
 
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Attention Agencies and Clients - we DO NOT provide new furniture and household items per our wish lists. The items provided are gently used donations from the community.