Dessert Dash Donation Form

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

I will deliver on:

Friday 6/16 from 1pm-7pm at the shelter

Sat. 6/17 from 11am-1pm at the shelter

Sat 6/17 from 2:30pm-4pm at HUB Ballroom

Other: email julie.hines1@gmail.com

My dessert:

Is Vegan

Is Gluten Free

Contains Nuts

None of the Above

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*