ACS Discovery Ball 2023 - Auction Item Donation: Commitment Form

Auction Item Donation: Commitment Form

Discovery Ball Chicago 2023
Donor Name/ Business:*
Donated Item(s) / Experience(s):*
Donated Item(s) Estimated Value:*
Donated Item(s) Description:*
Donated Item(s) Restrictions:*
Please list any restrictions (i.e. expiration dates, blackout dates, etc.) or write "n/a". All items donated will be used in auctions benefiting the American Cancer Society.
I am a(n):*

Individual DonorBusiness Donor
I would like to remain anonymous:*

YesNo
Donor Contact - Name:*

First NameLast Name
Donor Contact - Email:*
Donor Contact - Phone Number:*

Area CodePhone Number
Donor Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Solicitor's Name:*
Item Delivery:*

Certificate will be uploaded (see below to complete this process).Certificate will be emailed to Grace Glan at grace.glan@cancer.org.ACS has my permission to create a certificate (if no certificate will be provided by the donor).Item or certificate will be mailed to American Cancer Society, Discovery Ball Office, Attn: Grace Glan (One East Wacker, Suite 1500, Chicago, IL 60601) by August 29, 2023.Item or certificate will be mailed directly to the winner after the auction concludes on September 30, 2023.
Certificate Upload

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Upload the item/ experience certificate if you chose that option above. Cancelof
If you would like, please submit up to five (5) images or logos for the donated item/ experience. Thank you for your support!
Image/ Logo #1

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Image/ Logo #2

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Image/ Logo #3

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Image/ Logo #4

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Image/ Logo #5

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Notes
Should be Empty: