Fields marked * require an entry.

If you would like to donate an item using our online site, please fill out the form completely. For more information, or to arrange for pick up, please contact Katie Elsasser at (503) 984-4778.

Item Donation

Item Information

Item Name:*

I would like to donate anonymously:

Yes

This donation is in memory of:

I would like to be placed on your mailing list:

Yes

I would like to be placed on your email list:

Yes

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

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:

Email:*