Item Donation Form
Please complete all fields.
Email address
Name of Donor
Your answer
Donor Address
Your answer
Donor City
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Donor State
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Donor Zip
Your answer
Item Title
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Please give a longer, detailed description of the item.
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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?
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Please list a Rotarian to contact with questions about this item.
Your answer
Email Address (for receipt purposes)
Your answer
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