Auction Item Donation Form
For: Jacksonville Speech & Hearing Center FinFest 2023
Donor/Contact Information
Donor 1 Name:
*
First Name
Last Name
Donor 2 Name:
First Name
Last Name
Company/Organization Name (if applicable):
Donor Name(s) as they should appear on the website:
*
Anonymous Donation?
Please make this donation anonymous.
Solicited by (if applicable):
Donor Email:
*
example@example.com
Donor Phone Number:
*
-
Area Code
Phone Number
Contact Name (if different from donor):
First Name
Last Name
Contact Phone (if different from donor):
-
Area Code
Phone Number
Item Category
Please select the category that best describes your item:
*
Art and Decor
One-of-a-Kind Experiences
Food and Dining
Memorabilia
Sports and Entertainment
Getaways and Vacation Homes
Wine and Spirits
Health and Fitness
Other
Art and Decor
Item Name:
*
Estimated Value:
*
Artist Name (if applicable):
Item Description:
*
Please included dimensions if/when applicable.
Link to item description:
If available, please copy + paste URL of item description here.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
One-of-a-Kind Experiences
Item Name:
*
Estimated Value:
*
Location:
Date Range:
if applicable
# of Guests:
Full Description:
*
Please include any applicable restrictions:
*
If there are no restrictions, please write N/A.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the vouchers/certificate for the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
Food and Dining
Which of the options below best describes your item?
*
Restaurants
In-home Dining
Delivery
Cocktail Party
Other
Item Name:
*
Estimated Value:
*
# of Guests to be accommodated:
Full Description:
*
Please include any applicable restrictions:
*
If there are no restrictions, please write N/A.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the vouchers/certificate for the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
Memorabilia
Item Name:
*
Estimated Value:
*
Full Description:
*
Please include any applicable restrictions:
*
If there are no restrictions, please write N/A.
Link to item description:
If available, please copy + paste URL of item description here.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
Health and Fitness
Item Name:
*
Estimated Value:
*
Full Description:
*
Please include any applicable restrictions:
*
If there are no restrictions, please write N/A.
Link to item description:
If available, please copy + paste URL of item description here.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
Sports and Entertainment
Event Type:
*
Music
Theater
Tour
Sporting Event
Other
Item Name:
*
Estimated Value:
*
Event Date:
-
Month
-
Day
Year
Date
Location:
# of Tickets:
Full Description:
*
Please include any applicable restrictions:
*
If there are no restrictions, please write N/A.
Link to item description:
If available, please copy + paste URL of item description here.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
Getaways and Vacation Homes
Is this a trip or a vacation rental?
*
Trip
Vacation Rental
Other
Item Name:
*
Estimated Value:
*
Full Description:
*
Please list any applicable restrictions:
If there are no restrictions, please write N/A.
Link to item description:
If available, please copy + paste URL of item description here.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the vouchers/certificate for the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
Wine and Spirits
Qty of bottles included:
*
Estimated Value:
*
Wine Type:
Wine Varietal:
Full Description:
*
Please include any information on the Brand/Producer and Country/Region of Origin.
Please list any applicable restrictions:
If there are no restrictions, please write N/A.
Link to item description:
If available, please copy + paste URL of item description here.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
Other
Item Name:
*
Estimated Value:
*
Full Description:
*
Please include any applicable restrictions:
*
If there are no restrictions, please write N/A.
Link to item description:
If available, please copy + paste URL of item description here.
How will this item be given to Jacksonville Speech & Hearing Center?
*
I will mail or deliver the item to Jacksonville Speech & Hearing Center by May 1, 2023.
Please contact me for other arrangements.
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