Name:

Address:

City/State/Zip:

Home Phone:

Work Phone:

Email Address:

Donor should be listed as:

Description of item for publication - please be as specific as possible, include color, size, age, style, location or any information necessary to accurately describe item. (This really helps us in writing the auction booklet.)

Special Instructions/Restrictions - please include such items as age restrictions, date restrictions, time limit, pick-up/delivery, etc.

Estimated Fair Market Value: $
(Tax deductible as allowed by law)

Underwriter/Cash Donation Amount: $

Donation: will be delivered or mailed

Donation: requires pick up

Please note: Unless otherwise specified, all items must be used within one year of auction date.

To submit your donation:

To start over: