Fields marked * require an entry.

Do you have an item to donate? We are looking for services, gift baskets, dinners, wine tastings etc...

Raffle, Auction, and In-Kind Donations

Item Information

Item Name:*

Estimated Value $:*

Item Category:*

Live Auction

Raffle (Stand alone item)

Raffle (Combine with other items)

Dessert Auction

Event Services or Supplies

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Solicited by:*

Solicitor's Email:

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:*