Cocktails for a Cause 2018

Thank you for supporting us!

If you are interested in contributing an item, a basket, or a gift certificate to our fundraising event, please fill out this form, and we will contact you shortly to arrange pickup of your donation or gift certificate.

Contact Information

Individual Business

Business Name*

Contact Person*

Title

First Name*

Last Name*

Address Street Address, P.O. Box

Address Line 2 Apartment, Suite, Unit, Building, Floor

City

State/Province

Zip/Postal Code

Email*

Phone

Website (Please include http:// or https://)

Donation Item Information

Please Display Donor as Anonymous

Donor Name to Display in Catalog and Print Materials

Item Name*

Quantity*

Fair Market Value*

Description for Public Catalog*

Restrictions on Use or Sale and/or Special Instructions

Private Notes to our Procurement Team

Please make a gift certificate for the winner.

Redemption Instructions

Item Images

We promote items/services and their donors in an online catalog. Please upload any images you have that we can use to show off your donation.

Add Image