Auction & Gift in Kind Page

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

Additional Information

Restrictions (if any):

Expiration Date:

Date Restrictions:

Maximum People:

Date item(s) will be delivered:

Intangible Items:

Gift Certificate given with this form

Gift Certificate will be given at a later date

Auction Committee will create gift certificate

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*