Donation Form

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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

How I will provide the item/certificate to you:

I will email it to Glebeauction@gmail.com

I will mail it to Glebe Elementary Attn: Auction 1770 N Glebe Rd Arlington VA 22207

I need you to come pick it up from me (I will email glebeauction@gmail.com to coordinate)

Please create a certificate for me

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

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