Enter Your Donation Here

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Fields marked * require an entry.

Please give us your best descriptions of the items you are donating or received from a donor! If you are entering information for a donor, please do not put your personal information.

We appreciate your support! Thank you.

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

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Mobile Phone:*

Email:*

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