Auction Item Donation

Fields marked * require an entry.

Consider donating an item to our silent auction to support the JPA Golf Classic!

As a non-profit we rely on the generosity of local businesses and donors to produce an exciting silent auction. Once we receive your submission, we will review to ensure that it meets JDRF procurement guidelines for auction items and we will respond to you shortly to confirm whether we are able to process your donation.

We are grateful for your generosity and your partnership in helping JDRF achieve our goal to improve the lives of people with type 1 diabetes. If your item is accepted, you will receive an official letter of acknowledgement for tax purposes. For more information about JDRF and diabetes research progress, please visit our website at www.jdrf.org.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions:

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:

Home Phone:

Work Phone:

Email:*

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