Thank you for your request to partner with the Mississauga Furniture Bank! Be sure to read the agency guidelines before submitting the form.

The Mississauga Furniture Bank reserves the right to change its policies at any time with notification to your organization.

 
 

Contact Details

Agency / Organization Name:
Required
 
Address Line1:
 
Address Line2:
 
City:
 
Phone Number:
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Fax Number:
 
Web Site:
 
May we list your agency on our website as a referring agency?:
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Description of mandate and services provided by your organization:
 
First Name:
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Last Name:
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Email Address:
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I have read the Agency Guideline and I agree to abide by them:

 
I confirm that I have the authority to register my agency: