Auction Donations

Fields marked * require an entry.

Thank you for your generous donation to our Shindig Auction.

44th Annual Grand Western Shindig 2023

Thursday, November 9, 2023

Mays Family Center, Witte Museum

Item Information

Item Name:*

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Estimated Value $:*

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Please enter a valid decimal number as nnn.nn

Item Description:*

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Notes:

Items Restrictions. Important! i.e. Expiration Date, Black out dates, May not be combined with other offers, etc.:

I am a(n):*

Individual Donor

Business Donor

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I would like to remain anonymous:*

Yes

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Type of Donation:

Gift Card PROVIDED BY THE DONOR

Gift Certificate TO BE CREATED BY SHINDIG STAFF

Tangible Good(s)

Gift Card + Tangible Good (s)

Securing your donation or gift card:

Please call me to arrange to pick it up.

Please create the gift certificate for me based upon the information provided.

I will deliver it to Mission Road.

It is already with an Auction Committee Member

What if? Forms or items received AFTER NOVEMBER 1 or donations that DO NOT RECEIVE A BID may be used another way. What is your preference?

Save my donation and include it in next year's Shindig.

Give my donation to the Mission Road Human Resources Dept. so it may be used as a special gift to a CAREGIVER (not managers or administrators) to acknowledge a job well done.

Please return my donation to me by January 15

Your logo and images: We want to promote your donation! Please send a high resolution image of your logo and several images of your donation to the following email: densanchez@mrmsat.org Images must be emailed as JPGs only. Each image must be smaller than one megabyte.:

Signature: This is my signature authorizing the donation and agreeing to the terms and conditions above.:*

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Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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Address:*

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Address2:

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City:*

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State:*

Province State is required for the United States

Postal Code:*

Please enter a value for Postal Code: Please enter a valid postal code.

Country:*

Country is Required

At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

Please enter a value for Mobile Phone: Please enter a valid phone number. Use x to denote extension

Home Phone:

Please enter a value for Home Phone: Please enter a valid phone number. Use x to denote extension

Work Phone:

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Email:*

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