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Auction Procurement

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Item expiration date or restrictions:

Delivery of item or certificate:*

I will deliver item by August 15, 2026

I will provide the gift certificate by August 15, 2026

Please create a gift certificate for this item.

Other

If other delivery, please specify:

Notes:

Donor Name as you would like it to appear in auction catalog:*

Business Website (if applicable):

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

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:

Email:*