Auction/Basket Donation
Please fill out this form and submit. Notification of the donation must be received by November 19, 2018. If you need to have your donation picked up, please call the Foundation directly to make arrangements. Foundation office: 402-223-3078 or by email:
[email protected]
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Required Fields
Auction/Basket Donation:
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Contact Name
*Required
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Company Name
*Required
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AUCTION/BASKET ITEM
*Required
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Auction/Basket Item Description
*Required
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Fair Market Value $
*Required
I do not wish for my item to be packaged with other items
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Address
*Required
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City
*Required
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State/Province
*Required
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Zip/Postal Code
*Required
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Phone
*Required
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Email
*Required
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