Furniture re-use referral form

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DEPTFORD ACTION GROUP FOR THE ELDERLY
CHARITY REG. No. 269672
71 Deptford High Street, London SE8 4AA
Tel: 020 8691 8823/
020 8691 2849
Web site: http://www.dage.org.uk

Referral form
(Click here for the form in PDF format)
for RE-USABLE FURNITURE
for client referred to DAGE's charity shops,
specialising in FURNITURE RE-USE -

20% discount offered on all furniture
at 71 Deptford High Street, Deptford, London SE8 4AA

*Please print this form for your clients, the numbers as you need for each client,
ensuring the client has a copy to show to us.*

With this referral, a 20% discount will be applied
for re-usable furniture stocked at DAGE.

Name of person making referral:

__________________________________________________________________

Person's organisation:

__________________________________________________________________

Contact details of person making referral:

___________________________________________________________________

Name of person being referred to DAGE:

___________________________________________________________________

Address of person being referred to DAGE:

___________________________________________________________________


___________________________________________________________________


___________________________________________________________________

Telephone number for person being referred to DAGE:

___________________________________________________________________
DAGE stocks three-piece suites, sofas, dining tables and chairs, wardrobes,
dressing tables, chests of drawers, wall units and much more
(please note: we do not stock white goods such as fridges and cookers)

DAGE will collect for free your re-usable donated furniture - ring 020 8691 8823