URLThis field is for validation purposes and should be left unchanged.Is the In-Kind gift from an Organization? Yes No Organization/EmployerName(Required) First Last Email(Required) AddressYou do not have to enter the address if the donor is a member of Assistance League. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone(Required) Country Phone Number Choose the event Great Pumpkin Golf Scramble Dream Big Other Donation is for Silent Auction Raffle Prizes Goodie Bags Live Auction Dessert Auction Wheel of Wine Donation Status Is attached Needs to be picked up Received Will deliver Item #1Describe the item - If there are multiples of the same item, combine them into one entry with a quantity — e.g., "5 bottles of wine." ValueIf more than one item is listed above, combine the values into one total.Do you have more to enter? Yes No Item #2Describe the item - If there are multiples of the same item, combine them into one entry with a quantity — e.g., "5 bottles of wine." . ValueIf more than one item is listed above, combine the values into one total.Item #3Describe the item - If there are multiples of the same item, combine them into one entry with a quantity — e.g., "5 bottles of wine." ValueIf more than one item is listed above, combine the values into one total.
