Welcome to the 25th Annual Great Gold Rush Auction: Donate

Donor Information


Donor or Company Name (as it should appear in the catalog):
Donor Contact Person (not listed in the catalog):
Donor Email:
Donor Address (include City and Zip):		Donor Phone #:
		Donor FAX #:
Donor 2 or Company Name (as it should appear in the catalog):
Donor 2 Contact Person (not listed in the catalog):
Donor 2 Email:
Donor 2 Address (include City and Zip):		Donor 2 Phone #:
		Donor 2 FAX #:
Donation Date:
Please send me an invitation to the auction.
Auction Representative:		Auction Rep Phone #:
Auction Rep Email :
Team Name :

Donated Item Information

Catalog Item Name:

Item Value: (Fair Mkt Value):

Expiration Date:

Detailed Catalog Item Description (Quantity, Size, Color, Restrictions, & Other information to ensure proper understanding of the donated item):

	Delivery by Donor		Pick Up by Auction Representative
	Donor to Provide Promo Material		Auction Committee Provide Certificate

Item Label

*For internal use only

Brief Item Name:

Donor Phone:

Donor's Name(s) as it should appear in the catalog:
Tracking Number:	Catalog Number:	Code/Category:	Package With:

Please verify the above information is correct before submitting your request.






Catalog Deadline: 4/15/2008 Your Donation may be Tax Deductible! Check with your Tax Advisor. Fed Tax ID 23-7050570