Celsi Celebration Auction Item Donation Form 2022

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Thank you for donating to our Celsi Celebration!

Campaign Finance Laws require we collect the following information:

Email *

Donor Name *

Please do not display donor name at auction. No donor information will be listed.

House District (not required)

Street Address
*

City, State & Zip Code *

Phone Number
*

Occupation Status *

Occupation (please enter n/a, if not employed)
*

Employer (please enter n/a, if not employed)
*

Employer City & State (please enter n/a, if not employed)
*

Donated Item
*

Description, including any information you wish the recipient to know. We may use this information on the item display.
*

Value of the item
*

To deliver the item(s) please call or text Layla Assem at 503-449-5098.

Thank you for supporting the Multnomah County Democrats’ fundraiser.

For event tickets visit www.multdems.org

A copy of your responses will be emailed to the address you provided.

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