Fifth Grade kleinsmith Pops Item Donation Page

Fields marked * require an entry.

Fifth Grade Pops

Let's jazz up the juice joint with amazing donations to this year's auction. Remember if our class is the first with 100% participation, we will win a auction sponsored field trip. All items must be at the school by December 19, 2011.

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:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

Thank You to all of our sponsors