Do you have a potential donation for our Game Changer Gala raffle?

Please fill out the form below and we will be in touch with you shortly. We can't wait to hear from you!

Any additional questions can be sent to lrodgers@cityhouse.org.

Name

First Name

Last Name

Company Name

Please put N/A if you are an individual.

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Item Donated

Description and/or restrictions of donation

Value

Type of Donation

Physical Item

Gift Certificate/Gift Card

Travel/Experience

Delivery Method

I will drop the item off (830 Central East Pkwy #350, Plano ,TX 75074)

I will mail the item (830 Central East Pkwy #350, Plano ,TX 75074)

The item will need to be picked up (someone will contact you to coordinate)

The item will be emailed (lrodgers@cityhouse.org)

Additional Comments