Fields marked * require an entry.

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

Procurement Form - THIS AUCTION IS NOW CLOSED PLEASE DO NOT USE THIS 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 / Location:*

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 - THIS AUCTION IS NOW CLOSED PLEASE DO NOT USE THIS FORM!

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