Fields marked * require an entry.

Glorietta Parents’ Club - A Non-Profit Organization
15 Martha Road, Orinda, California 94563
Tax ID # 68-0425890

* Deadline for Early Bird Raffle is Friday, December 18th.

* Please return donation form along with item to be donated to the Glorietta Main Office. (For large or valuable items, call Vic Hoyt: 415-939-2350 or Nadine Watters: 925-255-8900 to arrange for pick up).

Donate An Auction Item

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Please list all donors:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Does your company offer corporate match?*

Yes

No

Should we create a gift certificate for your donation?*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*