* Required

2020 Auction Donation Form

Donor First Name*required

Donor Last Name*required

Email Address*required

Business Name (if applicable)

Website (if applicable)

Street Address

Address 3

City

State

Zip

Phone

Ext

Donor Name (for use in Auction materials)*required

Item Donated*required

Item Description (Quantity, Size, Color, & other information to ensure proper understanding of the donated item)*required

Expiration Date*required (mm/dd/yyyy)

Fair Market Value*required

Item/Certificate Information*required

Please Select…Tangible Item- Display at AuctionDelivery by DonorPick up by SolicitorDonor to Provide Gift CertificateAuction Committee to Provide Certificate

Please keep a copy of the Donation Form for your records.

If you have any questions, please contact Stephanie Mertens.

 

Your donation may be tax deductible. Check with your tax advisor.

Fed Tax ID 53-0196494

Please send a confirmation email to the address below: