Raffle Donation

Raffle Donation

Please provide the details of the item(s) you are donating to our 5K Event Raffle
Donor Name

First NameLast Name
Company Name/Organization (if applicable)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Item(s) Name and Description
Estimated Value
Restrictions or Expirations (if applicable)
How will you deliver the item to AAIM before the Event?

Ship or MailArrange Drop Off at AAIM (847)240-0027
Our Address

AAIM - Alliance Against Intoxicated Motorists
Attention: 5K Event
870 East Higgins Road, Suite 131
Schaumburg IL 60173 US
Should be Empty: