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Thank you for your generous contribution! Please complete this form for the item(s) you would like to donate. We will contact you to arrange pick-up or drop-off of the item(s).

Silent Auction Donation

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

I will:*

Mail my auction item

Please contact me to pick up my auction item

Please make a certificate for me

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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