Fields marked * require an entry.

Thank you for donating an item to the MAC Angels 2013 Gala.

Please email our auction chair Kelly Corwen
to let her know how you plan on sending your donation to MAC Angels.

Item Donation

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

Connection to MAC Angels:

Special Instructions (i.e. redemption period, black out dates, etc.):

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:*

Item Donation

Follow Us