P.E.A.C.E. Auction Item Donation Form

Fields marked * require an entry.

Auction Item Donation Form

Donation Amount:

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Collection Details

Will this item be delivered to Zion?*

Yes

No, but item will be made available for pickup by February 15th

Please specify any special delivery/pickup details, including preferred pickup date/time.:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

Work Phone:*

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:*

Expiration Date:*

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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