Fields marked * require an entry.

Have an item that you would like to donate as a teacher raffle prize? Please fill out the form below. A member of the committee will contact you regarding your donation.

Please contact Ann Freeman at abfreeman@mac.com if you have questions.

Thank you for your support!

Donate a Raffle Item

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:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*