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Thank you for supporting our 54th Annual Sunshine Gala through a donation of an in-kind item for our raffle and live auction.

Please fill out the form below with as much detail as possible so that we may provide you with an accurate donation receipt letter. For any questions, please contact deidra.brown@servingseniors.org.

Auction Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

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:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Auction Donation

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