Item or Package Donation

Fields marked * require an entry.

Donations can be brought to the Salem Academy Administration Office between 8am-4pm (located in the Academy Square Mall, behind Arby's in the parking lot).

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:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*