Donate an Item to the Community for Youth Aspire Auction 2023

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Restrictions & Expiration Date:*

Please check one of these boxes:*

Donor to mail or deliver gift certificate and/or item to the Community for Youth office

Community for Youth has permission to create a gift certificate for this item

Donor would like Community for Youth to pick up the gift certificate and/or item

Donor Name (if different than the person filling out this form):

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*