Virtual Raffle Form

First Name

Last Name

Company Name

Website

Please offer us the website you would like to have listed.

Description*

Please describe your raffle item. *Acceptable Raffle Donations: Aromatherapy product(s) with retail value of $50.00 or more. Free aromatherapy class or course from a NAHA approved school, NACEP, or IFPA approved school. Aromatherapy Book.

Member ID

Please indicate your membership NAHA or IFPA. Please include your membership number.

Retail Value of Item

Please include the retail value USD of this item.

Countries I am willing to ship to

Country or countries where you will ship the item. Donors of raffle items will be responsible to ship the item (or email the link for electronic prizes) the raffle winner.