Auction Item Donation

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Thank you for donating items for Sips & Snips in Purradise! Please fill out the following form with information about your donation and you will receive a receipt via email.

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

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

Mobile Phone:

Email:*

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