Fields marked * require an entry.

Please note: Items to be used at Homeward Pet's discretion to maximize benefit. The placement of all donated items in silent or live auction is to be determined by the auction committee. Homeward Pet reserves the right to use any item in an event/auction other than the Fur Ball.

Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

in 'Item Description' please specify any details that will help us market your item. We need a fun and detailed account of your item. Please include details such as color, quantity, size, location of services, etc.:

Other Details: Please specify all restrictions, black out dates, expiration dates, and any other important information:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Donor Name (Individual or Business):*

Donation: Please check the appropriate box:*

Item or Certificate to be delivered to HPAC

Item to be picked up by an auction volunteer

Please create a gift certificate for this item

Display: Please check the appropriate box:*

Display material to be delivered to HPAC (it's preferred that you provide materials that do NOT need to be returned)

Please create a display for this item

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:

Home Phone:

Work Phone:

Email:*

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Auction Item Donation

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