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What Are You Donating?*
- Tangible Item
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Tangible Item
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Item Name/Title*
Donor's Estimate of Retail Value $*
Detailed Description of the Item for Catalog (ie: quantity, size, color, etc)*
Any Restrictions? (ie: blackout dates, expiration date, etc)*
Choose One:*
- Please contact me to arrange for pick up
- Item will be delivered to LEADPrep during school hours (specify date below)
Item Delivery Date
Please deliver to LEADPrep by January 18th
Gift Certificate
Choose One*
- GC will be delivered to LEADPrep (specify date below)
- LEADPrep has my permission to create GC
GC Delivery Date
Wine Donations
Vintage (Chardonnay, Rose, Malbec, etc)*
Year Bottled*
Donor's Estimated Value*
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Cash Donation Amount:*
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- $1000
- $500
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Donor Information
Please fill in Donor Info for the business donating the item.
Donor Name (as it should appear in the catalog)*
First Last
Donor Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Donor Phone*
Donor Email*
Parent information
If Different than Donor Information
Parent Name
First Last
Student Name
First Last
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Parent Address
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Parent Phone
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