Auction or Prize Item Donation

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Fields marked * require an entry.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Instructions for Pick Up and/or Delivery:

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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EVENT LOCATION:

Lake Ripley Country Club

W9575 US Highway 12

Cambridge, WI 53523

SCHEDULE OF EVENTS:

9 - 10:15 am - Check-In & Registration

10:30 am - SHOTGUN START

3:30 - 5 pm - Hors d'oeuvres & Social Hour

4:45 pm - Live Auction

5:45 pm - Dinner Buffet

6 pm - Silent Auction Ends

6:15 pm - Awards Announced

6:30 pm - Auction Checkout Begins