Item Donation - Online Form

Fields marked * require an entry.

Please use the below form to submit your donations, it is a great help to have this information input electronically. Please click here to print the donation form and submit a hard copy.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Item is:*

This form will serve as certificate

Will be delivered at a later date

Other - Please Specify Below

Please add in any additional details here:

Expiration Date (please allow one year from auction date of 3/22/14 to redeem or specify alternate expiration here):

Special Instruction, Conditions or Restrictions (e.g., dates valid, blackout dates, minimum/maximum number of people, tax and gratuities included/excluded, restricted to 199 families, etc.):

Class/Teacher:

Donor Address (please include street address, city, state and zip):*

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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