Fields marked * require an entry.

To all Solicitors:

Please enter the information for the item as requested below. The donor and contact information is for the company or individual making the donation.

In the NOTES section, please enter your name (as the solicitor), phone number and email address. Also, let us know if you have the item or gift certificate. We will contact you if there are questions.

Thank you for making the Fantasy Football XX a touchdown!!!

Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

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:*

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Item Donation