Auction Item Donation Submission Form

*First Name:

*Last Name:

*Email Address:

*Phone Number:

- - x

Enter the best contact phone number

*Street Address:

*City:

*State:

*Zip Code + 4:

*Item Name:

*Item Type:

Product

Service

Please state whether the donation item is a product like a hat or a service like a fishing/hunting trip.

*Item Category:

New Item

Used Item

Custom / Hand Made

Please state if the item is new, used, or custom crafted.

*Description of Item:

(chars left: 200)

Enter a short description of the item

*Cash Value:

$	Enter the cash value of the item

*Item delivery method:

Will drop off at my Regional Director's home

Will drop off at an Alumni location

Will bring to the event

Will need to have it picked up

Will mail item to a specified location

Tell us how you will deliver the item