Item Donation Form
Please complete all fields.
Email address *
Name of Donor *
Your answer
Donor Address
Your answer
Donor City
Your answer
Donor State
Your answer
Donor Zip
Your answer
Item Title *
Your answer
Please give a longer, detailed description of the item. *
Your answer
What is the Fair Market Value of the item? *
Your answer
Have you turned in the item? *
Where is the item currently located? Or, when do you expect to turn in the item? *
Your answer
Please list a Rotarian to contact with questions about this item. *
Your answer
Email Address (for receipt purposes) *
Your answer
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