Auction Donation Form

Confirmation Deadline: September 1, 2017
All auction donors will be recognized at the event

DONOR INFORMATION

Name of Donor (required)

Business Name

Please list your name as you would like to appear in all printed materials

Mailing Address

City, State, Zip

Your Phone (required)

Your Email (required)

Estimated fair market value of item (required)

Description to be used in printed materials

Restrictions?
YesNo

If yes, please describe

Expires (We recommend 9/23/2017)

HCN Committee Member (if applicable)

DONATION DETAILS

Delivery
I will deliver by 9/1Please contact me to arrange pickup

Certificates and display
I will provide a gift certificatePlease create a gift certificateI have props to enhance displayPlease find display props for me