2020 Auction Donation Form

Donor First Name*

Donor Last Name*

Email Address*

Business Name (if applicable)

Website (if applicable)

Street Address

Address 3

City

State

Zip

Phone

Ext

Donor Name (for use in Auction materials)*

Item Donated*

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

Expiration Date* (mm/dd/yyyy)

Fair Market Value*

Item/Certificate Information*

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: