Fields marked * require an entry.

All items must be received no later than Saturday, September 1, 2024.
Thank you for your donation.

Procurement Form

An Evening Under The Luna Auction

Saturday, September 7, 2024

Item Information

Item Name:*

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Estimated Value $:*

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Please enter a valid decimal number as nnn.nn

Item Description:*

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Notes:

I am a(n):*

Individual Donor

Business Donor

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I would like to remain anonymous:*

Yes

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This is a joint gift from myself and:

Name as you would like it to appear?*

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Donor will provide:*

Item(s)

Certificate(s)

Display (promotional materials for display welcome)

Certificate needs to be made by Kataluna Auction Committee

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

Yes

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

Yes

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Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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Address:*

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Address2:

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City:*

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State:*

Province State is required for the United States

Postal Code:*

Please enter a value for Postal Code: Please enter a valid postal code.

Country:*

Country is Required

At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

Please enter a value for Mobile Phone: Please enter a valid phone number. Use x to denote extension

Home Phone:

Please enter a value for Home Phone: Please enter a valid phone number. Use x to denote extension

Work Phone:

Please enter a value for Work Phone: Please enter a valid phone number. Use x to denote extension

Email:*

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Procurement Form

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