Fields marked * require an entry.

Thank you so much for your support of the Center for Dialog & Resolution's 2022 Zazz Dinner & Auction event! Please provide the following information about your item. (If you have more than one item, please fill out a separate form for each item.) Also, please provide a full description - i.e. "One bottle of 2016 Cabernet Savignon from Chateau Ste Michelle, Indian Hills" vs "bottle of red wine". Also, please be sure to put THE DONOR'S contact information into the form (not your info, unless you are personally donating that item). Thank you!!

Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I'd like to include a minimum bid amount for my item:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

This is a joint gift from myself and:

Location of Item

This item will be provided to CDR by _________(mailing, drop off to the Center, emailing a certificate, other. Please specify):

Solicitor

CDR Board Member Name (Solicitor):

CDR Board Member Email:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Auction Item Donation

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