Fields marked * require an entry.

Auction Item Donation Form

Thank you

for your generosity in donating an auction item in support of Mount St. Helens Institute!

Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Is this donation an item or certificate:

Item

Certificate

If this is a certificate, would you like MSHI to create a certificate for you?

Yes

No

Please note any expiration or restrictions with your donation.:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*