Product Donation Form

Name of Business/Donor: *

Item or Amount $ Donated:

Value of Donation (if an item):

Email: *

Name of Contact of Donor/ Business:

Address of Donor/Business

City of Donor/Business

State of Donor/Business

Zip of Donor/Business

Phone of Donor/Business

The gift is:

• in the mail
• being sent via email
• in my possession. Please follow up with me about picking it up.

Description of Donation (including stipulations such as expirations): *

If you are donating on behalf of a Seton Academy family's solicitation, please select the family name below:-- Select One --BartoszewiczBergerBurchChernickEmprayilGeorgeHagerHimmerichHughesJaneiroKuhlmanLaHoodMahoneyMcCormackMcCulloughReitzelRyanSimpsonSpeaker/WojtowiczSowinskiVersaciWhite

Notes:

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