Skip to content
Online Auction Item Donation Form
"
*
" indicates required fields
Contact Info
Donor Name (as you would like it to be listed)
*
First
Last
Contact Name (if different)
First
Last
Phone
*
Email
*
Address
*
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Website
Item Donation
Name of Item
*
Item Description
*
Approximate Retail Value
Priceless
This item is priceless
Specific Instructions / Restrictions (i.e. expiration dates, blackout periods, # of people in party, taxes not included)
Company Logo / Item Image
Drop files here or
Select files
Accepted file types: png, jpg, Max. file size: 4 MB, Max. files: 2.
If you would like to include an image of your item or your company logo, please upload it here. (PNG format, 400 px wide)
Scroll to top
Scroll to top
Scroll to top