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Please fill out the form below to donate an item for our silent or live auction.

Thank you for supporting St. Agnes!

Silent Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Pick up

If yes, please let us know the details of how you would like your donation to be picked up:

Drop off

If yes, please let us know if the donation is coming by mail or will be dropped off to the school:

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:*

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