Item Donation

Fields marked * require an entry.

Item Donation Form

If you are planning to donate items, please complete the following form once for each item you're going to donate.

The item donation form must be submitted by September 25. Drop donated items off at the Chamber office (1314 W. Moore Ave.) no later than Tuesday, September 28 at 5 p.m. Online bidding for the silent and premier auction items will open on Monday, October 4.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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