Furniture Voucher

SVDP Conferences Furniture Voucher Form

Conference(Required)

Individual Authorizing Voucher(Required)

Your Email(Required)

Your Phone(Required)

Neighbor's Information

Name(Required)

Address(Required)

Phone(Required)

Social Security Number (Last 4 Digits)(Required)

Dollar Amount of Voucher(Required)

Is the neighbor coming from the shelter?(Required)

Yes

No

Was the neighbor issued a Care Card? If yes, what was the dollar amount?

Please enter a number from 0 to 1000.

Couch

$100

Love Seat

$75

Upholstered Chair

$35

Recliner

$55

Twin Bed Kit

$162 (New Furniture Cost is 100%)

Full Bed Kit

$175 (New Furniture Cost is 100%)

Twin Air Bed

$55 (New Furniture Cost is 100%)

Queen Air Bed

$75 (New Furniture Cost is 100%)

Card Table & 4 Chairs

$85 (New Furniture Cost is 100%)

Table & 2 Chairs

$80

Table & 4 Chairs

$120

Additional Chairs

$15 each

Dresser

$75

4 Drawer Clear Dresser

$56 (New Furniture Cost is 100%)

Floor Lamp

$25

Table Lamp

$15

Twin Bed Linens

$10

Full Bed Linens

$15

Comments:

There is a $35 delivery fee(Required)

I acknowledge that a $35 delivery fee will be added to the total of the voucher.

Phone

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

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Contact Us:
St. Vincent de Paul Society, Dayton
124 West Apple St.
Dayton, OH 45402

Fax: 937.222.7944
info@stvincentdayton.org

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