Auction Donation Form

Contact Information

Donor's Name (required)

Street Address (include apt/unit #)

City

State

Zip

Phone

Your Email (required)

CSI Member Name (required)

Donated Item Information

Item Donated (required)

Item's Retail Value (dollar amount)

Item's Category (dollar amount)

Additional Information

Number of Items

Return items if not sold?   yes no

Total Retail Value of All Items? (dollar amount)

Total In-Kind Donation (dollar amount)

Upload image of your donated item (JPG, GIF or PNG files are best)


Additional notes, special instructions etc.)

Click "Send" below to submit your donated item.

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