Event Auction Donor Commitment

Event Auction Donor Commitment
Name of Donor (Individual or Company) *
Contact Name *

First Name Last Name
Email *
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Item information: Please provide description of item(s) to include quantity, basket contents, size, color, number of people, etc. Please specify any restrictions on date or use and other special conditions. *
Expiration Date: (if applicable)
Stated Value: *
Included for donation is: *

Merchandise Gift Certificate Donor to Provide Gift Certificate IHS to Provide Gift Certificate Item Received Item to be Delivered* Item to be Picked Up* Other*

If you'd like to make a donation, or donate funds for a specific basket or auction item, please do so below.

USD Description

Please provide any additional comments:
*Please provide pick up dates or delivery dates if indicated above
Enter the message as it's shown *
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