Item Donation Page

Fields marked * require an entry.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Do you have a SCORE mentor? If so, please list here:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Any Restrictions? Please list valid dates, expiration, minimum bid requirements etc. if applicable:*

Would you like to provide a cash donation? If so, please click on the Cash Donation link in the upper left corner of this page to be directed to the SCORE Seattle Donation page.:

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:

Work Phone:

Email:*