EmailMe Form - 2024 RBMA Foundation Silent Auction Form

Name *

First Last

Company *

Email *

Preferred Phone *

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

Donated Item or Experience:

How should we list your donation?

Item Name: *

Item Description: *

Fair Market Value (must be a minimum of $50)? *

Image Upload

Please provide a picture of the item or an image representing the experience: *

Agreement

Please affirm the following:

1. The individual or company noted above is providing the item listed in this form to the RBMA Foundation for Education and Research as an in-kind donation.
2. RBMA will provide acknowledgement to the individual and/or company donating the item on the Silent Auction website and when mentioning the item in any promotional materials.
3. Companies donating items that are also exhibiting at PaRADigm will display the donated items at their booth. Those who are not exhibiting, can deliver the items to the RBMA Registration Desk for display.
4. Within 15 business days of the conclusion of the auction, RBMA will provide you with the name and email address of the donated item winner. *

Yes, I affirm

Signature

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