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.
6. VideoPhone
Please enter a valid phone number.
7. Business Website
8. Social Media Handle
9. Business Logo File Upload

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10. Auction Item:

Artwork, jewelry, or handcrafted itemsGift basketsLocal experiencesVacation staysEvent ticketsProfessional servicesTechnology itemsOther
11. Please describe your item(s) and their value(s):
12. File(s) and/or Photo(s) of Items

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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