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2024 Kataluna Christmas Auction - Online Only

Procurement Form

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Is it okay to use images from your website to advertise the item(s) you donated?

Yes

No

IMPORTANT NOTE: Please email company logo and item photo(s) to Paige@TheDesignPaige.com:

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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