MBCA Sunset Soiree Silent Auction Donation Form

The following item has been donated to MBCA Summer Mixer for use in our auction.Please use a separate form for each item donated.
Item:*
Suggested Value of Item:*
Description:*
Restrictions & Limitations (If Any):
Expiration Date (If Any):

MonthDayYear
Date
Name of Company / Individual Donating Item:*
Person To Be Acknowledged:*
Title:
Address:*
Phone Number:*
Please enter a valid phone number.
Fax:
Please enter a valid phone number.
Email:*
example@example.com
Is Pick-up Required?*

YesNo
All certificates must be valid for any year
from the date of the event.
Please attach your business card to this form.
Your support is sincerely appreciated. Donations are tax deductible to the full extent allowed by law.
MCCA - Metropolitan and Citizens Association is a not-for-profit organization with section 501c-3 status for tax purposes, and governed by a Board of Directors.
Should be Empty: