Auction Item Donation

Please fill out the form below to donate an auction item.

Name

First Name

Last Name

Title

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Company

Phone

(###)

###

####

Item

Please describe the auction item. This will be provided as part of the online bidding description.

This item is given compliments of:

Please list how you would like to be recognized.

Market value

Please list the market value of the donated item (a letter acknowledging your donation will be provided following the event). The IRS requires your best estimate of the fair market value of the item.