Scholarship Auction Donation
Name
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Donated Items
*
My items are donated to the scholarship fund for:
*
Alaska
Arizona
California
Nevada
New Mexico
Utah
Wyoming
Share my donation to all participating states
How will you provide your items:
Please have my state association contact me regarding pickup / delivery of my donation
I will deliver my items to the conference (Tuesday or Wednesday by 3 PM)
Have Photos of the Auction Items You Would Like to Share?
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of
Anything else you would like us to know?
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