Auction Item Donation Form

Fields marked * require an entry.

Donate an Auction Item!

Donation deadline is December 10, 2021.

Questions? Contact Kendall McCord at kmccord@pshouston.org.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Donation Information

Donation Information:*

The item itself (a physical object)

A gift certificate

Please create a gift certificate based on the information provided

Number of Available Spots

For parties, outings, socials, and dinners, please note the number of available spots:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*