Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

Please let us know if you will be providing a visual for your donated item; and, if so, please describe the visual (signage, size, etc).:

I would like to remain anonymous:*

Yes

No

How do you plan on sending your donation to MAC Angels? If by mail, 2005 Palmer Ave, Suite 291 / Larchmont, NY 10538:

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:*