Donate Auction Items

Fields marked * require an entry.

Instructions:

Estimated Value = Fair Market Value

Item description: Please input "print ready" text to display at auction

Donor: Name of individual who is actually donating the item

Notes:

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

Donor:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Event Procurement