Donate a Prize

Do you have an item or experience you'd like to donate for a prize; either personally or from your business/company? If you would like, prizes will include a business card (supplied by the donor) or a label (created by us) so winners may contact you to shop or enjoy future services! Your donation is tax deductible.

Please fill out the form below.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor
Business Donor

I would like to remain anonymous:*

YesNo

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Fields marked * require an entry.

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