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Amount raised so far: $11,139.50

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AUCTION ITEM DONATION FORM

Thank you for your support! A copy of this form will be emailed to you. Please keep the email copy for your records!
 
Item Information (Fields marked with * are required)
 
Item Name * :
Retail Value * $   No Commas or Dollar Signs, please.
Item Description * :
Note: Include all facts for catalog description and publicity. Include any limitations such as number of persons, time of year, expiration date, geographical limitations, insurance required, etc. Donor must provide gift certificate with all inclusions-if applicable.
 
Item Image(s) (*)
If you have an image of the item please upload it here. (Accepted file types: jpg, gif, png)
 
Main Image * :
Secondary Image :
Secondary Image :
 
Donor Information (*)
 
Company Name :
First Name * :
Last Name * :
Address :
City :
State/Province :
Postal Code :
 
Phone * :
Email * :
A copy of this form will be emailed to the email address entered.
 
URL :
URL To Your Companies Website
 
Any Additional Notes/Comments
Please enter any special instruction below.