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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 email@example.com or call 816-986-4409.
Please list how the donor name should be listed
Please check if you do not want your name to appear
Company or Donor Name
State / Province / Region
ZIP / Postal Code
Please provide a brief description of item for auction listing:
Gift will be delivered
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:
Gift Certificate created by Wayside
Item solicited by: