Stoneham TV 2021 Item Donation Form

Business/Organization Name

(If applicable)

Contact Name

Address

Phone

Website

Item Donated

Value Each ($0.00)

Total # of identical items donated

Total value of donation ($0.00)

Description & restrictions for on-air script. (size, color, material, expiration, includes installation, etc)

Type "None" if none.

Please Select One

Item will be mailed/delivered to Stoneham TV

Contact donor to arrange pickup

For gift certificate/voucher donations ONLY:

Donor will provide

Stoneham TV will create

Call for pickup, fax, or email to:
Stoneham TV
53 Central St.
Stoneham, MA 02180

PHONE: (781) 438-8340
FAX: (781) 438-8344

auction@stonehamtv.org