Donations for Raffle Baskets

Fields marked * require an entry.

Thank you for considering donating items to our golf outing. We are currently looking for sporting tickets, entertainment tickets, golf foursomes and restaurant gift certificates for our 4 big raffle baskets. Donations can be dropped off or mailed to;

Lazarus House
Attention Darlene
214 Walnut Street
St. Charles, IL 60174

Or arrange for pick up by calling Darlene at 630-587-2144 or emailing darlener@lazarushouse.net

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

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:*

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For more information contact Darlene 630-587-2144 Darlener@lazarushouse.net

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