Your Name

Donor/Company Name (to appear on auction materials)

Phone

Email

Address

City

State

Zip

website

Brief Description of the Item:

Retail Value ($)

Expiration Date (if Applicable)

Are there any conditions, restrictions or limitations?

How will you get this item to us?
Donation AttachedWe will send or deliver the itemPlease arrange for pick-up of the donationPlease create a certificate for the winner

Items being sent by mail can be sent to 940 Haverford Road, Suite LL1, Bryn Mawr, PA 19010

Please attach the item certificate (if applicable) or any other documents relating to the donation:
Attachment 1
Attachment 2
Attachment 3

Please feel free to send, with your item, promotional materials/displays to enhance the visibility of your donation

If you have any additional questions, please email christine@fredsfootsteps.org or call 610-850-3290.