Trivia Night Donation Form

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Thank you for contributing an auction item or certificate! We are so grateful. All auction items are due to the Chamber Office by January 27.

Business Name *

Input N/A if you are not associated with a business.

Contact Person Name *

How should we recognize your donation in event materials? Complete this portion if information is different from above.

If donor is a business, we recognize the name of the business as the donor. If the donor is not associated with a business, we use the donor's first and last name. If neither of these apply or you wish to be recognized in another way, or remain anonymous- insert the information below.

Email *

Phone *

Which best describes your auction item? If donating mulitiple items, check all that apply. *

Bottle(s) of Liquor

Door Prize

Gift Certificate

Lottery Ticket(s)

Physical Item

Other:

Required

Briefly describe your auction item(s).Make sure to include any restrictions, black out dates, expiration dates, etc. *

What is the estimated value of your auction donation(s)? If donating mulitiple items, please list seperately. *

Item Delivery or Pick up *

I will deliver my donation to the Chamber Office

I request to have my donation picked up by the Chamber.

Date of Delivery or Requested Pick up *

YYYY

Submit

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