Charity Ball Item Donation

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Thank You so much for your support of this year's Charity Ball!

Please deliver auction items to the Hotel Captain Cook Human Resources annex--546 West 4th Ave

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:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

This year's Together We Can Project will benefit all eight of our diverse programs. Stay tuned for more details.