Shindig Raffle Item Donation Form
First Name
*
Last Name
*
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Business or Organization Name
*
Street Address Line 1
*
Street Address Line 2
City
*
State
*
Zip
*
Business Phone
Please enter a valid phone number.
What would you like to donate to the raffle?
*
What is the approximate value of this item?
*
If there is a web address associated with this item, include it here
If you have an image of your donation item, please upload it here.
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