Donate an Auction Item

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Fields marked * require an entry.

Please fill in the Auction Item Information and Donor Information.

Please indicate any restrictions, special instructions and name of committee member who solicited the item where applicable.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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