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AUCTION DONATION FORM

A GRAND AFFAIR COCKTAIL BENEFIT

EVENT DATE: September 14th

ITEM DEADLINE: August 31st

Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

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:

Work Phone:

Email:*

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