Donation Information

Name

Phone Number

Email Address

Year Purchased

Value of Dress

SIze

Has it been cleaned? Has it been cleaned? Yes, the dress has been dry cleanedNo.

Has it been altered? Has it been altered?Yes, the dress has been alteredNo.

Please describe alterations made.

Personal notes about your dress and wedding day are greatly appreciated.

Charity Charity Lisaard House Hospice of Waterloo Region Cambridge Memorial Hospital Grand River Cancer Centre Terry Fox Foundation HopeSpring Cancer Support Centre Any one will do