EmailMe Form - 2015 Holiday Faire Auction

Item Title

Which Category is most applicable?

Description of good or service being donated *

Starting bid *

$ Dollars

Value of good or service *

$ Dollars

This is the amount you can use as a donation. PRWS is a non-profit.

Name of Donor *

First Last

Phone *

### - ### - ####

Email *

Address *

Street Address City State / Province / Region Postal / Zip Code

Web Site

What is the nature of the donation?

Certificate for service

Item

Other?

If it's an item, how can we get it from you? *

I will drop item off at the PRWS office by November 21st (431 E. Court Street, Viroqua, WI 54665)

I will drop item off at Ethos Green Power office 729 North Main Viroqua, WI 54665 (2 blocks N of Coop, back door)

Please contact me and send someone to pick up my donation

Other

Any other instructions?