KTB Comfort House Door Prize & Auction Donation Form
Thank You to this community for your support!
Name of Company:
Company Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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!
BLOOMIN' FIESTA: MAY 2, 2025
CAR SHOW AUCTION ITEMS: SEPTEMBER 27, 2025
HALLOWEEN CASH PARTY AUCTION ITEMS: OCTOBER 25, 2025
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
Should be Empty: