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Family Donation Form

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

Donation Collection:

Discovery will pick up item (you will be contacted)

Discovery to create a certificate for this item

I will email certificate to auction@discoverypta.org

I will mail to Discovery 5241 36th St N, Arlington, VA 22207

I will delivery to Discovery (M-F, 9am-4pm)

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Mobile Phone:

Email:*

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