Basket Donation Info Sheet
Thank you for donating a Brain Buddie Basket for our Annual Basket Raffle! This Basket Info Sheet form is required for each raffle basket donation. If you are donating more than one basket please fill out a separate form for EACH basket.
Basic Contact Details
Donor Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
How is this Information Used?
We use the info gathered in this form to create a Basket Sheet which will be attached to the outside your Basket donation and used to identify your Basket during the raffle. It lets others know who donated the basket, what goodies are waiting inside and of course, provides a way for them to read the story behind who the basket represents. Please note your email and phone number is only for the Gray Matters Team use and will NOT be shared on the printed Basket Sheet that we attach to your basket (or anywhere else).
Basket Details
Basket Donated By
List all of the wonderful people who are donating this basket! This is YOU or your family, friends, coworkers, team, etc.
This Basket Represents
Name of the person(s) this basket is inspired by. Is this Basket in honor of a survivor or in memory someone who has passed? (Example: "In Honor of Lanette Veres")
Brain Buddie Photo
Upload a File
Drag and drop files here
Choose a file
Upload a photo of the person this basket was inspired by (if applicable).
Cancel
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Basket Theme Name
Enter the basket theme or name of the Brain Buddie who this basket is for. (Example: "Lanette's Heart Basket" or "Coffee Lovers Basket")
Basket Contents
Please list ALL items included in this basket (one item per line, please). Be sure to include important details (such as giftcard merchant names and amounts) as items can be difficult to see after being wrapped. If your basket is not yet finished, please wait to fill out this form after all items have been collected.
Share your Brain Buddie Story
This is your opportunity to share your story or inspiration behind your Basket. Tell us a little bit about the person you made the basket for and why you chose these items to represent them.We recommend keeping stories to about ONE letter sized page.
Help us Spread Awareness!
We want to share our Brain Buddie stories with as many people as possible to help raise awareness about brain cancer! Will you allow us to use any submitted photos and stories as part of our mission? This might include in places such as printed materials, slideshows projected at our event, blog posts on our website, social media posts, etc. *Your Brain Buddie Story will always be shared as a printout attached to your basket donation.
Can we share your Story?
Yes, I'm happy to help spread awareness
No, thank you.
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