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SILENT AUCTION SUBMISSION FORM

COMPANY INFORMATION

Donor/Representative Full Name

Donor Company Name

Street 1

Street 2

City

Province/State

Postal/Zip Code

Country

Email

Phone

DONATED PRODUCT OR SERVICE

Description of product or service being donated

Approximate Retail Value

Can this product or service be physically displayed at the silent auction? *

Yes

No

If "Yes", what is the tangible item and how should we get it from you? If "No", do you want to provide the winning bidder with a formal certificate/email confirmation/etc. to confirm their access?

Thanks for submitting!

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