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Inly Auction Item Donation Form

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

How will you get this donation to us?

Please generate a gift certificate based on the information I've provided

I will email my certificate

I need my donation to be picked up

I would like to remain anonymous:*

Yes

No

Comments:

Donor Name as you would like to be listed:

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:

Work Phone:

Email:*

To learn more about Sponsorship Opportunities click here: