Fields marked * require an entry.

ThankYou for donating a Dessert. Please keep in mind that the dessert should feed about 10 people.

DESSERT DONATION

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes: What bakery is your dessert from?

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

THANK YOU TO OUR SUPPORTER:

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