Xavier Holiday Auction 2021 Donation Agreement Form

Please complete by October 29, 2021

Donor or Company Name *

Donor Name *

Company Name (if different)

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Gift Solicited By

Donor Signature *

clear

Donation Date *

Donor Website

Catalog Item Name (60 characters maximum) *

Item Description (300 characters maximum - quantity, size, color, date, restrictions or other information to ensure understanding of the item) *

Item Fair Market Value *

Is your donation *

A physical item

A gift certificate

Gift Certificate Information:

Donor to Provide

Auction Committee to Create

Expiration Date +

Are you delivering your item? Please indicate the delivery date. +

Please upload your company logo or donated item photo here. Please send in .jpeg or .png format .

Any questions? Please contact Taylor Van Arsdall @ tvanarsdall@xcp.org