Donate Item

Fields marked * require an entry.

Thank you for donating an item to our fundraising event!

Please submit your donation using the form below. If possible, please allow for an expiration date at least one year from the date of the event, so October 17, 2022.

Please mail gift certificates to: PO Box 4285, Portland, OR 97208-4285

Thank you!

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Mailing gift certificate?

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 / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Thank You to our Sponsors

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