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The eliseo foundation relies on the generosity of organizations and individuals just like you. The goods and services you donate will help us help our eliseo seniors and community. Think of items that you or your business - or your friends, family and acquaintances - might be able to donation.

Just use this simple form to submit your items online!

Item Donation

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:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Item Donation

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