Auction and Raffle Donation

Donor Information

Donor Recognition Name

Address

City

Zipcode

State state Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas US Virgin Islands Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Phone

E-mail

Point of Contact Information

First Name

Last Name

Phone

E-mail

Donation Item

Donated Item

Detailed Item Description

Special Instructions / Restrictions / Expiration

Fair Market Value

$

Law requires we inform buyers of fair market value for item.

Please choose

Please arrange to pickup item Item will be delivered.

Gift Certificate

Please create a gift certificate for my donation.

Submit