Brier Helping Brier Online Auction Procurement Form
Donor/Business Name
*
Contact Person
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Donor Website
Donor Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Donation
*
Gift Certificate
Merchandise
Experience
Other
Description of Donation
*
Please describe the item, experience, or certificate as you would like it listed in the auction catalog.
Retail Value of Donation
*
Restrictions or Expiration Date (if any)
How will the donation be delivered?
*
Mail: Address will be emailed separately
Pick-up: To be arranged
Drop-off: To be arranged
Already Provided Donation
Submit
Should be Empty: