Auction Item Registration Form

2019 Barn Dance Auction Item(s) Donation Form

required fields marked with red asterisk
Name as you would like listed for publicity *

First Name Last Name
Business or Company Name as you would like listed for publicity
Contact Person *

First Name Last Name
Contact Person Position
Phone Number *

Area Code Phone Number
E-mail *
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Detailed Description of the Item for Donation
Description: *
Estimated Value: *
Item Donated in Honor of:
Item Donated in Memory of:
Donation Will Be: *

Mailed Delivered Needs to be Picked Up
Scheduled Date and Time of Donation: *

Month Day Year
Date Hour Minutes AM/PM Option
Restrictions (if any):
Please include menus, pictures, brochures, logos, and marketing materials to help us publicize the item and your business. We would love to hear from you as soon as possible in order to publish our auction list on our website in advance of the event.
Photos, Menus, Brochures, Logos, Marketing Material, etc.

Click Here to Upload File
Multiple Files Can Be Uploaded - Acceptble File Types: pdf, doc, docx, xls, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, jpeg, png, gif Cancel of
Thank you! We are so grateful for your contribution.
We are a 501(c)(3) organization and your donation is deductible to the extent allowed by law. Our Federal TAX ID#: 81-3032303
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2019 Barn Dance Auction Item(s) Donation Form