Auction Donation Form
Contact Information
Business Name
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Item Description #1
*
Item #1 Value
*
Item Description #2
Item #2 Value
Item Description #3
Item #3 Value
I plan to...
Please Select
Deliver my Item(s) to HETRA
Mail my Item(s) to HETRA
I would prefer a HETRA Representative pick the item(s) up from my place of business
Comments (Please advise if there any restrictions on these items)
I understand donations are utilized in a way HETRA deems most beneficial and that this donation, although unlikely, could be used for a different HETRA event.
*
I understand
Submit
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