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AUCTION ITEM DONATION

The SIH Foundation and the HMC Foundation will be hosting a mobile bidding auction at the Gala. If you are interested in donating an item, please fill out the information below. A Foundation staff member will be in contact to pick up the item.

Thank you for your generous donation and support of SIH!

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

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Auction Item Donation

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