Item Donation

Fields marked * require an entry.

PHAME Academy
Sparkle! Gala Auction Donation Form

Thank you for contributing to PHAME's 2011 Gala. Please use this form to enter the items you would like to donate to the live or silent auction. We would be delighted to accept multiple items from you, please simply fill out one form for each item.

If you have any questions, contact PHAME staff at:
info@phameacademy.org
503-764-9718

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

Special Instructions, Limitations, Allowances:

Include me in your email list:

Yes

Include me in your email list:

Yes

Mailing Address

Street Address:*

City, State:*

Zip Code:*

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

Follow Us