Hollywood - Item and Basket Donations

Fields marked * require an entry.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Restrictions:

How will you get the donation to Holy Rosary Catholic School?*

I will drop off my donation(s) to the School Office

I will mail it in

I need a volunteer to pick up my donation(s).

Other

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:*