Donate an Item

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor
Business Donor

I would like to remain anonymous:*

YesNo

Please check one of the following:*

Donation will be mailed to the school BEFORE March 1, 2016
Donation will be delivered to the school BEFORE March 1, 2016
Donation needs to be picked up at my place of business

If item needs to be picked up, please list the best day and time for pickup (BEFORE March 1, 2016):

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

Mobile Phone:*

Email:*

Fields marked * require an entry.

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