Gala Auction Donation Form

Gala Auction Donation Form
1. Name of Business/Donor
2. Email
example@example.com
3. Name

First NameLast Name
4. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
5. Mobile/Text Number
Please enter a valid phone number.Format: (000) 000-0000.
6. VideoPhone
Please enter a valid phone number.Format: (000) 000-0000.
7. Business Website
8. Social Media Handle
9. Business Logo File Upload

Cancelof
10. Auction Item:

Other
11. Please describe your item(s) and their value(s):
12. File(s) and/or Photo(s) of Items

Cancelof
13. Agreement

By submitting this form, I confirm that the information provided is accurate. I understand that submission does not guarantee selection; DIC5 organizers will review applications and request more information when necessary.
Entering your name below serves as your electronic signature.
Name

First NameLast Name
15. Date

MonthDayYear
Date
Should be Empty:

13. Agreement