Fields marked * require an entry.

Complete the form below to donate an item to be included in LIHI's silent or live auctions!

In the notes field please indicate if you will:
1) Deliver the item to LIHI
2) If you would like a volunteer to pick up the item
3) If our staff should create a gift certificate for the winner

Donate an Item

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

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:*

At least one phone number is required.*

Mobile Phone:

Work Phone:

Email:*

Donate an Item

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