Item Donation Page

Fields marked * require an entry.

Thank you for your item donations for Breakfast with Santa 2023!

Donation Amount:

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

Business Name:

I would like to remain anonymous:*

Yes

Expiration date of gift certificate?

Item restrictions and/or limitations?

I will mail or drop off my donation.:

Yes

I will need someone to pick up my donation.:

Yes

What name should we use to acknowledge your donation?

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:*

Expiration Date:*

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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