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Silent Auction Item Donation Form
Please fill out the form completely, and submit online. For questions, or to schedule a pickup of your item, contact Paige Cooper at pcooper@waysidewaifs.org or call 816-986-4409.
Item
(Required)
Value
(Required)
Amount
Retail value
Estimated value
Please list how the donor name should be listed
(Required)
Please check if you do not want your name to appear
Company or Donor Name
Phone
Contact Person
(Required)
First
Last
Post Title
Phone
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Email
Please provide a brief description of item for auction listing:
(Required)
Gift will be delivered
(Required)
Yes, I'll deliver it myself
No, I need someone to contact me about picking it up.
If no, date to be picked up:
Gift Certificate provided by donor:
Yes
No
Gift Certificate created by Wayside
(Required)
Yes
No
Item solicited by:
Donor Signature:
