Auction Donation Form

Fields marked * require an entry.

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

I will email my donation to glebeauction@gmail.com (for e-certificates):

Yes

No

I will mail/drop off my donation to Glebe Elementary School:

Yes

No

I need you to come pick up my donation:

Yes

No

Please have the winner email me to redeem:

Yes

No

Please create a certificate to be used for my donation:

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:*