Needs Form Untitled* I WOULD LIKE TO DONATE A NEW OR GENTLY USED ITEM(S) I HAVE A NEED FOR A NEW OR GENTLY USED ITEM(S) Name* First Last Email* Phone* Home (landline) Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Do you attend Candlelight?* Yes No Description*Please describe one or more of the following: • I WOULD LIKE TO DONATE A NEW OR GENTLY USED ITEM(S) • I HAVE A NEED FOR A NEW OR GENTLY USED ITEM(S)NameThis field is for validation purposes and should be left unchanged.