Item Donation

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2016 MIFBC Auction Item Donation

Thank you for your donation! Please provide as many details as possible so we can properly advertise your item. Please remember to include any restrictions, if applicable.

Thank you for your support!

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

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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