Donation Form

Donation Type

Will this be an individual donation, a donation on behalf of a business, or would you like to keep your donation anonymous?

Name of Person(s) Submitting This Form

Business Name (if applicable)

Phone Number

Address

Item To Be Donated

Estimated Item Value

Photo Of Item

Pick-Up/Dropoff

Dropoff Location 1
The Tilley Group
5701 North HWY 81, Duncan, OK

Dropoff Location 2
Dr. Brendhan Fritts, OD
14 South 8th Street, Duncan, OK Will this item need to be picked up from a specific location or will you be dropping it off?

Special Notes Add any additional details about your donation.