It's never too late to help! If you have an auction item that you would like to donate please complete the form below.

We will be accepting new auction items until Wednesday, November 8, 2017.

Contact Laura Egan at legan@rimland.org if you have any questions or you are wanting to donate after November 8, 2017.

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:

Home Phone:

Work Phone:

Email:*

Fields marked * require an entry.