MRCA Foundation Auction Donation

Company Information

First Name:
Last Name:
Donating Company:
Address:
 
City: State: Zip:
Phone:
E-Mail:
Website to link your auction listing to:

Description of Your Donation

These details will help us create your auction listing and promote your donation

Item name as you would like it to appear at auction:
Brand or manufacturer of item (if applicable):
Model or product number (if applicable):

If you are donating tickets to an event, please complete the following:

Event date: ?
Event name:
Event location:
Quantity of tickets:
Parking pass included

If you are donating a trip, please complete the following:

Destination:
Type of trip:
If other, please describe:
Description of what is included (be specific):
Duration of trip:
Restrictions (age, height, etc.):
Deadline to redeem: ?
Voucher or gift certificate provided
Person to contact to redeem tickets or trips:
Contact phone:
Contact email:
Value of item:
Website for additional information about donated item:
   - denotes required fields