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DONATE an ITEM or EXPERIENCE

We invite you to donate a fabulous item

or experience to our Silent Auction!

Complete the online donation form, then we will

contact you to arrange pick up of the donation.

THANK YOU!

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Item Information

Item Name:*

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Estimated Value $:*

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Please enter a valid decimal number as nnn.nn

Item Description:*

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Notes:

I am a(n):*

Individual Donor

Business Donor

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I would like to remain anonymous:*

Yes

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Item Certificate:*

I will provide a certificate

Please make a certificate

No certificate required. My donation is a physical item.

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Item Delivery:*

I will mail/deliver

Please contact me to arrange pick-up

I've sent with solicitor

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Who solicited your donation?

Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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Address:*

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Address2:

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City:*

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State:*

Province State is required for the United States

Postal Code:*

Please enter a value for Postal Code: Please enter a valid postal code.

Country / Location:*

Country is Required

At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

Please enter a value for Mobile Phone: Please enter a valid phone number. Use x to denote extension

Home Phone:

Please enter a value for Home Phone: Please enter a valid phone number. Use x to denote extension

Work Phone:

Please enter a value for Work Phone: Please enter a valid phone number. Use x to denote extension

Email:*

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