Item Donation

Fields marked * require an entry.

Thank you for your support! Please note that items received after May 1, 2013 may not be included in the auction. All items become the property of TIHAN. Items not used in the auction will be used in support of TIHAN's work.

When completing this form please include all facts for bid sheet description and publicity; including interesting facts, unusual aspects, rarity, size, color, information on donor, restrictions, expiration dates, etc. Please note that ITEM VALUE must be assigned by the donor per IRS regulations.

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

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*