Auction Item Donation

Fields marked * require an entry.

Instructions:

Estimated Value = Fair Market Value

Item description: Please input any additional information you would like us to know

Donor: Name of individual who is actually donating the item

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

Point of contact (if different than donor):

Email for point of contact (if different than donor):

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*