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Donations

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:

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5pm - 6pm - Complimentary cocktails and hors d'oeuvres

5pm- 8:00 - Entertainment : Eddie Molina

5pm-8:15- Silent Auction (featuring mobile bidding)

7:00pm - Dinner

8:15pm - Live Auction and Raffle Drawing