Blue & White Night Donation form

#1- Silent & Live Auction Items

Would you like to donate an item/service to the silent or live auction?

If yes, please provide a detailed description of gift (include any limitation, i.e. expiration date) for inclusion in event booklet.

Estimated Fair Market Value of item:

Pickup of item requested?

Would you like to donate wine, whiskey, or craft beer?

If yes, select which item?

Estimated Fair Market Value of item:

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Do you wish to have your name printed in event booklet?

If yes, how do you wish for your name to appear?