Online Auction Donation Form

Date submitted

How would you like the donor name to be listed?

Is this a business or individual?

Business Website

Name of Contact

Contact Phone:

Email:

Address for Donor

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Brief description of item(s) being donated and other important information:

Approximate retail value:

Check all that apply

Dimensions?

Any restrictions (ex: expiration date, blackout period, etc.)?

Is it acceptable to use your logo and images from your website (if applicable) to advertise your item(s)?

How did you learn about this auction?

How did you hear about it?