Item Donation

Fields marked * require an entry.

Support the Bright Futures Benefit Auction by donating an item to be auctioned off! Items can range from big to small, and can help us fill gift baskets, make packages or send someone off for a week or weekend to a vacation home or timeshare.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Description and/or 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:

Email:*

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