Gently Used Instrument Donation Form
Please complete to the best of your ability and leave any unknown fields blank. After completion you will automatically be emailed your receipt.
Date
-
Month
-
Day
Year
Date
How are you donating your instrument(s)?
*
In-person drop off
Shipping
Name
First Name
Last Name
Email
Please provide if you would like a copy of the form via email.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please provide as much information about the instrument(s) as you can. Type (ie: guitar), Brand (ie: Fender), Model (ie: Stratocaster), Serial Number (typically located on the instrument)
*
Current Estimated Value
The Mr. Holland's Opus Foundation takes no responsibility for valuation of instruments. Please provide a professional appraisal for any donation valued at $5,000 or more.
Is there a special story you would like to share about the instrument(s)?
May we share this story on MHOF’s social media, in our newsletter or other materials?
YES
NO
Would you like to receive further communication from The Mr. Holland's Opus Foundation?
*
YES
NO
Submit
Should be Empty: