Please use the form below to send the details of your donation
only if you are located outside of the U.S. or Canada.
Item to be Donated:
Donor's First & Last Name :
Full Address(include City, State, Zip):
Phone:
Fax:
Email:
Best Time to be Reached and Phone #:
Describe Donated Item(please be specific) :
Suggested Retail Value:
Item will be delivered by (name and date):
Do You Want a Booth at Fundraiser?
Yes No
Special Needs for Booth, if any? (electricity, etc.)
Comments:
Please email any brochures, photos or other details if you have them available electronically.