Item Donations

Fields marked * require an entry.

Thank you for your donation to our Gaynor Gala. Please fill out the fields below with as much description as possible, including all black-out dates, restrictions, expirations and special conditions.

DEADLINE FOR ALL AUCTION ITEMS IS FRIDAY, FEBRUARY 23, 2018

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions *:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Contact Us

Follow Us