Fields marked * require an entry.

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 Stefanie Smith at Stefanie_Smith@bshsi.org or 804-287-7261.

Donate an Auction Item

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 / Location:*

At least one phone number is required.*

Mobile Phone:

Work Phone:

Email:*

Donate an Auction Item

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