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Auction Item Donations

This year we step into a vibrant world or mystery, adventure and wonder searching for.. A World Without Type 1 Diabetes.. but we need your help!

Please consider donating an item for our auction on May 3, 2014.

Item Donation

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:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*