Fields marked * require an entry.

We are seeking the following types of raffle item donations for our raffle baskets:

Gift certificates for golf related items including greens fees to area courses, golf equipment and accessories
Collectible golf memorabilia
Golf resort accommodations and greens fees
Area restaurant gift cards or gift certificates
Food, wine and alcohol items
Area outdoor venues gift cards or gift certificates such as zoos, parks, and other venues allowable per the pandemic guidelines

Contact Barb at barbp@lazarushouse.net for questions and more information.

ITEM DONATION

Item Information

Item Name:*

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:

Work Phone:

Email:*