Fields marked * require an entry.

Thank you for your support of this year's Red, White and Snow

Please fill out the fields as it relates to your item donation below

*If you are interested in us picking up your donation, please reach out to Grant Dixon at grantd@discovernac.org and we will arrange it. If you plan to mail the item, here is the address 1000 Ability Way, Park City UT 84060.

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

How will the item be provided to the NAC?*

I will drop off or mail the item

It is a gift certificate and I will email it to the NAC

It is a gift certificate and the NAC will need to create it

The NAC team will need to pick up the item

The NAC team has already picked up the item

Please provide the following restrictions if applicable: -Expiration Date/blackout dates -Months Valid -Number of People -Contact information for Redemption:*

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

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