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If you would like to donate an item or service for our silent auction, please complete the form below, send an email to us at Gala@CampMountainChai.com or call us at 858 499-1330. We need to receive the forms on or before April 20th. We will call you to arrange a pick-up of the donations. Thank you.

Auction Item Donation

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

How would you like to be recognized on printed materials?

Are there any limitations (exclusion dates, other limitations) to your donated item(s)?

Do you have any other comments & other instructions:

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:*

Auction Item Donation

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