*
Required
Item or Service Donated
*
required
Stated Value of Item or Service
*
required
Description
*
required
Please provide a detailed description and any restrictions or expiration dates.
Please check the appropriate box:*
We will deliver our gift donation to Villa on a certain date.
Our gift donation needs to be picked up. Please call us to make arrangements.
When will you drop off your gift to Villa?
*
required
Name
*
required
Class of
(if you are an Alumna of VJM)
Business Name
(if applicable)
Email Address
*
required
Phone Number
*
required
Street Address
*
required
City
*
required
State
*
required
Zip Code
*
required
Mailing Address/P.O. Box
(if different from Street Address)
Additional Notes (Not required)
Please send a confirmation email to the address below*: