Donate an Auction Item for our Gala Benefit Auction
 
DONOR INFORMATION
(Please enter individual, group, or company information exactly as it should be listed on the program)
  
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Company Name  
 *First Name  
MI  
 *Last Name  
 
Contact Name (if applicable)  
 
 *Address  
 
 *City St, Zip  
 *  *
Country  
 
 *Email  
 *Phone  
Fax  
 
 
AUCTION ITEM INFORMATION
 *Item Name  
* Item Information  
Estimated Fair Market Value ($):  
 
* I will mail photos or promo materials to be used in the program by March 15, 2010.
 
  Yes
  No
 
* I need photos or promo materials to be picked up.
 
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Upload promo materials/photos  
 
 
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10420 Barringer Foreman RdBaton Rouge, LA 70809225.755.1558225.755.1568
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