Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Thank you for supporting Friends & Mentors Inc.'s 6th Annual Summer Youth Gala. Your generosity helps provide mentoring, mental health, leadership, and community health programming for youth and families throughout our community. Please complete the information below for each donated item or service. Name *FirstLastPhone *Email *Mailing AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBusiness/Organization Name (if applicable)Website (optional)Social Media (optional)Comment or MessageName of Donated Item/Service *Detailed Description *Please include any important details that will help attendees understand what is included)Estimated Fair Market Value of ItemIf this is a physical item, how would you like to do drop off/pick up? Drop off Item Prior to Event at FAM OfficeArrange Pick Up with Staff MemberBring item to EventWe will reach out based on your answer. If it is not a tangible item please skip this question! Would you like your donation acknowledged publicly? *Are you okay with your logo featured on event materials? * Phone Donor on Please Upload Business Logo Here Drag & Drop Files, Choose Files to Upload Donor Authorization * Clear Signature I certify that the information provided is accurate and that I am authorized to donate the item(s) or service(s) listed above.Submit