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Donate an Auction Item

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

Is your donation an Item, Certificate or an Item AND Certificate??*

If your donation is a certificate, do you need CTA to create a certificate for you?

Yes

No

Please note any black out dates, restrictions or expiration here.:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*