Donation Request Form
Please fill out this form to request a silent auction item from our organization. You will receive an email when your silent auction item is ready to be picked up at our Blaine/Ham Lake location, 1460 143rd LN NE, Ham Lake, MN 55304.
Organization Name
*
Name of Event
*
Event Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tax Exempt ID
Date of Event
*
-
Month
-
Day
Year
Date
Donation Needed By
*
-
Month
-
Day
Year
Date
Name of Person Requesting Donation
*
First Name
Last Name
Phone Number
*
Email
*
example@example.com
Additional information about the organization or event (optional)
Upload a copy of your event flyer or donation request (optional)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: