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Auction Item Donation for Skyline

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Item Restrictions (If none, please indicate. If an expiration date is not provided, the catalog will list the expiration as September 25, 2021. All items donated will be used in auctions benefiting the American Cancer Society.):*

Notes:

I am a(n):*

Individual Donor
Business Donor

I would like to remain anonymous:*

YesNo

Solicitor's Name (Name of individual who requested the donation):*

Item Delivery:*

ACS has my permission to create a certificate (if no certificate will be provided by the donor).
Item or certificate will be mailed to ACS by August 25, 2020.

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Auction Item Donation for Skyline

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