KTB Comfort House Door Prize & Auction Donation Form
Thank You to this community for your support!
Name of Company:
Company Name
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Description of Item/Service Being Donated:
Description
Value of Donated Item/Service $$$:
Value
PLEASE MARK which event you are donating a door prize or auction item for!
CAR SHOW AUCTION ITEMS
HALLOWEEN GALA AUCTION ITEMS
Additional Notes/Special Instructions
Please select one.
I will drop item off at address below
Please contact me to pick up item
Katie's Comfort House
2400 Valley Avenue #2
Winchester, Va 22601
Contact: Brandon Teets 540-533-2695
Submit
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