Donation of Raffle Item or Basket

Donor name

First

Last

Donor Business/Organization/Group Name (if applicable)

Donor email

Donor contact number

Description of donation

File upload option, if applicable (ie Local business gift certificate provided by the owner, etc)

Drag & Drop Files, Choose Files to Upload

Estimated donation value (Optional)

Is there a specific High Peaks Hospice Event you are donating this for or would you prefer we utilize it where most needed?

time for (if

You may qualify for event sponsor benefits for donations valued at $100 or more. Would you like to learn more?

Drop off or pick-up option

Drop it off at the High Peaks Hospice Hudson Falls Office (1247 Dix Ave, Hudson Falls, NY 12839)
Drop it off at the High Peaks Hospice Mineville, NY office (12 Tom Phelps Rd, Mineville, NY 12956)
Opt for pick-up with our service area

Pick up location

Address Line 1

Address Line 2

City

State

Zip Code

Pick-up notes

Notice: You will be contacted to arrange a pick-up time