Item Donation

Fields marked * require an entry.

We are currently accepting item donations for our 2013 auction. Items needed are gift cards, hotel nights, personal donations of time or talents (cooking, crafts, etc...) and many many more! Thank you for all your support!

2013 Viva St. Perpetua!

Saturday, March 16, 2013

Soda Center on the St. Mary's College campus

Item Information

Item Name:*

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Estimated Value $:*

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Please enter a valid decimal number as nnn.nn

Item Description:*

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Notes:

I am a(n):*

Individual Donor

Business Donor

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I would like to remain anonymous:*

Yes

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Item Delivery

Will the item be delivered or need to be picked up?*

Needs to be picked up

Will be mailed

Will be dropped at St. Perpetua

Other

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What approximate date will the item arrive?*

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Would you like a gift certificate created for the item? If yes, please indicate below items you wish to have on the certificate including expiration date.:

Yes

Comments & Other Instructions:

Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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Address:*

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Address2:

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City:*

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State:*

Province State is required for the United States

Postal Code:*

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Country / Location:*

Country is Required

At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

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Home Phone:

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Work Phone:

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Email:*

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