Donate an Item

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Vacation packages, art, wine and unique experiences make great auction items!

Fields marked * require an entry.

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

This donation is a: (Check all that apply):

Physical Item

Gift Certificate / Card

Delivery options:

I will deliver, mail, or email item to Amrita-Seattle

I would like Amrita-Seattle to make a certificate

I would like Amrita-Seattle to pick up item

Donor Name (as you want it to appear):

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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