EmailMe Form - SILENT AUCTION DONATION FORM

Image

Name of item:

Donated by:

Brief description of donated including any use restrictions on the gift:

Retail value of item:

Suggested minimum starting bid of item:

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone

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

Signature

Sign with finger tip on touch screen or with mouse on computer.

Or fax to 616-264-3444.