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Have an item or package you would like to donate to the auction? Fill out the form below, and JDS will be in contact with you for more information. Please note: Donation items are selected on a case-by-case basis.

Procurement Form

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:*

Mobile Phone:*

Email:*

Procurement Form

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