Item Donation Page

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

What type of item is this?

Physical Item

Gift Certificate

Intangible Item or Experience

How will your item be received by the LHE Auction Committee?

Any other needed information?

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*