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DONATION PAGE

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

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I would like to remain anonymous:*

Yes

No

Did an ERHS member solicit this item?*

Yes

No

Who solicited this donation?*

Delivery Information:*

Donation will be emailed to erhsauction18@gmail.com

Donation will be mailed to ERHS PTA, 411 E. 76th Street , NY, NY 10021- Attn: Main Office

Present this form to redeem donation

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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