DONATE AUCTION ITEM

Fields marked * require an entry.

Item Donation

Please be as detailed as possible and include item restrictions where applicable (expiration dates, black out dates, etc.)

Contact information is the donor information, not the solicitor. If you solicited the item, please list in the appropriate box.

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

Item Certificate:*

I will provide a certificate

Please make a certificate

My item is a physical donation and does not require a certificate

Item Delivery:*

I will drop my item off

Please arrange for pick-up

Who solicited this donation?

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*