MACCA Raffle Donation Form
Thank you for providing a donated item for our upcoming event! Mailing Address: 3068 Tonkin Drive, North Port, FL 34287
Description of Item: (Please be specific)
How shall the donation be acknowledged? (i.e. "Donated by XYZ Co.")
Value of Item ($)
How will MACCA receive the item? (i.e. "Mail, drop-off, etc.")
Company Name:
Contact Person's Name:
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please verify that you are human
*
Submit
Should be Empty: