Community Business Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions: expiration date:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Donation delivery method:

mailed/delivered to Paideia

please contact me to arrange pick up

create certificate for me

certificate will be emailed to pipartycommbiz@paideiaschool.org

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:

Work Phone:

Email:*