Fields marked * require an entry.

2012 Masquerade Ball Item Donation Form

Important Notes:
1) "Item Description" should be detailed and entered as you would like it to appear in the catalog; editing may be done for clarity and brevity.
2) In the section "Contact Information", the word "Contact" refers to the Donor.

Donation

Item Information

Item Name:*

*Please enter a value

Estimated Value $:*

*Please enter a value
Please enter a valid decimal number as nnn.nn

Item Description:*

*Please enter a value

Notes:

I am a(n):*

Individual Donor

Business Donor

*Please enter a value

I would like to remain anonymous:*

Yes

*Please enter a value

Item Description Specifications (Please indicate as applicable):

Specific date of event or if mutually agreed upon date:

Black-out periods:

Expiration date:

Maximum number of attendees:

Any additional conditions, requirements or limitations:

Type of Donation:

Party

Travel/Excursion

School Spirit

Wine

Sports

Other

Please deliver any physical items for your donations to the Woodside Priory School and/or e-mail any electronic information (photos, brochures, menus, etc.) to ginamaya@yahoo.com.

I will deliver a physical item:

Yes

Approximate date of item delivery (if applicable):

Please enter a date as mm/dd/yyyy

If other than Donor, this form completed by:

Name:

Email Address:

Phone:

Enter Donor(s) name(s) exactly as you would like the name(s) to appear in the catalog:

Contact Information

Company:*

Please enter a value for Company:

First Name:*

Please enter a value for First Name:

Middle Name:

Please enter a value for Middle Name:

Last Name:*

Please enter a value for Last Name:

Address:*

Please enter a value for Address:

Address2:

Please enter a value for Address2:

City:*

Please enter a value for City:

State:*

Province State is required for the United States

Postal Code:*

Please enter a value for Postal Code: Please enter a valid postal code.

Country / Location:*

Country is Required

At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

Please enter a value for Mobile Phone: Please enter a valid phone number. Use x to denote extension

Home Phone:

Please enter a value for Home Phone: Please enter a valid phone number. Use x to denote extension

Email:*

Please enter a value for Email: Please enter a single valid Email.

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