Please Use This Form To Donate Each Different Item. If you have more
than one identical item please enter the number in the space provided.

All donor forms need to be completed and submitted by February 22, 2013
All prizes will have to be sent to the Raffle Coordinator by March 1, 2013

PLEASE DO NOT USE QUOTATION MARKS (") AT ANY TIME WHILE COMPLETING FORM
PLEASE DO NO COPY/PASTE INTO THIS FORM. THANK YOU FOR YOUR COOPERATION!

IF YOU ENCOUNTER PROBLEMS WHEN INCLUDING AN IMAGE FILE WITH THIS FORM,
PLEASE MAKE SURE ITS NAME IS IN LOWER CASE AND DOES NOT INCLUDE SPACES.

*= required
Prefix
First Name *
Last Name *
Company
Address 1 *
Address 2
City *
State/Province *
Postal/Zip Code *
Country *
Email Address *
Name of Item *
Item Category *
How Many Of This Item? *
Item Description (90 words max) *
Item Donated By *
Threadhead Contact
Item Value...............................................$ *
Item Website Link................................http://
Item Website Name
Item Photo (link)
Did you include a photo link? *
 Yes 
 No 
Item Photo (as alternative to link, attach file)
Did you attach a photo file (alternative to link)? *
 Yes 
 No 
Notes/Comments