Crystal Ball 2024 Auction Donation Form
Benefiting the Community Foundation of Northwest Mississippi
Contact Information
Donor Name
*
First Name
Last Name
Contact Name
*
First Name
Last Name
Contact Phone Number
*
Please enter a valid phone number.
Contact Email
*
example@example.com
Contact Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Item Information
DONATIONS ARE NEEDED IN THE FOLLOWING CATEGORIES:Unique Experiences | Accommodations | Event Tickets | Dining | Celebrity Experience | Travel, Vacations & Condominiums****No Physical Items
What is being donated?
*
What is the current Fair Market Value/ Retail Value?
*
Detailed Description?
How many people does this experience include?
*
Are there any exclusions?
*
Where is the experience located?
*
What are the dates for this experience?
*
Ex: Specific Days, How Many Days, or Mutually Agreed Upon Dates. For gift cards NA
Is there an expiration date for this item?
*
Yes
No
If yes, what is the expiration date?
*
-
Month
-
Day
Year
Date
Upload any certificates, images of the donated item, logo/s, etc. below.
Browse Files
Drag and drop files here
Choose a file
(Include 2 or more pictures in upload below or email to crystalball@cfnm.org no later than November 7th, 2023. Please include company logo if applicable):
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Are there any other restrictions or limitations?
*
Yes
No
If yes, what are the other restrictions or limitations?
*
Comments?
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Special Instructions
Special Instructions - Gift Certificate Delivery / Pickup
Gift Certificate / Letter on Company stationary attached (please include expiration date)
Sending Gift Certificate / Letter by mail on (date)
Auction Committee to create Certificate based on information above
Other
Donor/Contact Signature
*
Submit
Should be Empty: