Valentine Ball Auction Donation Form
Please register your item giving full description of it to be auctioned
Donor Name (Print as it should appear on Auction Bidding website)
*
First Name
Last Name
Contact Person (If different from above)
First Name
Last Name
Mailing Address (If a business please provide the business address)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Donor E-mail
*
example@example.com
Donor Phone Number
*
Format: (000) 000-0000.
Detailed Description of the Item
Type of Item
Silent Auction item
Wine Pull - Bottle of wine valued at $25 ++
If auction item is a gift certificate, certificate will be provided by:
Donor - Please deliver by Mon. Jan. 8
BMH Foundation - The Foundation will design and include all details
Name of Item:
*
Estimated $ Value:
*
Item Drop-off or Pick-up Options - Please have all items to the BMH Foundation by Monday, January 8th. Due to limited staff, we request items be dropped off
*
Drop off at the BMH Foundation office - by Mon. Jan. 8
Request a pick-up - Please have the Foundation Team contact me for details
Detailed Description of Item: (The description will be used on the Auction Bidding Website)
*
Conditions and Limitations: (Service must be used within 1 year of auction unless otherwise specified.)
Photo[s]:
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Auction Item Submitted by
*
First Name
Last Name
Submitted by Email
*
example@example.com
Submitted by Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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