2021 Item Donation

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Thank You for your Donation to our 2021 Auction!

See the Light! - It's Old Mill Magic

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:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Special thanks to Duerksen & Associates, Inc. for once again donating the car for our raffle!