Auction Donation Form - Hand Up for Women

Business Name

Donor Name(Required)

Address for Donor(Required)

Street Address Address Line 2 City ZIP Code

Contact Phone(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Preferred Contact Method(Required)

Phone

text

Website Address

May we use your logo and images from your website (if applicable) to advertise your item(s)?

Yes

Donation Details(Required)

Please provide a brief description of item

Approximate retail value(Required)

Any restrictions on item ex: expiration date, blackout period, etc?(Required)

Physical Item Dimensions?(Required)

How did you learn about this auction?

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