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DONATE AN ITEM

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Wine Donation

Winery:

Vintage:

Varietal(s):

Format / Quantity:

Delivery Details

Use this form to create a gift certificate:

Yes

Item(s) will be dropped off at St. Helena Montessori School by February 15, 2017:

Yes

I would prefer a SHMS representative to contact me to arrange to have the item picked up and to specify any details/dates involved:

Yes

Intended use of your donation, if known.:

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:*

Saint Helena Montessori is a 501(c)(3) non-profit public benefit corporation. Tax ID. #680187708