Auction Donation Form

Fields marked * require an entry.

The deadline for donations is Friday, January 19, 2018

Fill out this form for each item donated. Tax ID 68-0480736

If you have questions about filling out this form, please email auction@pacificprimary.org

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

RESTRICTIONS (time limitations, PP families only, Count-Me-In with total # of participants, etc.):

For this item, will you be providing a physical item or gift certificate? (If "No", a certificate will be created for you):*

Yes

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Submit
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