Donate an auction item

Thank you for your interest in donating an item to our event. Please fill out the form below with the information on your item or service you would like to donate. If you have any questions, please contact Lisa Patten at Lisa_Patten@bshsi.org or 804-281-8521.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor
Business Donor

I would like to remain anonymous:*

YesNo

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:

Work Phone:

Email:*

Fields marked * require an entry.

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