Donate to the All Star Auction

To submit a donation to the station please complete the form below. Thank You

Required fields are marked with a star (*). Click the 'Submit' button at the bottom of this form to proceed.

Donor Information

Company Name:

Anonymous

Contact Name *

Telephone Number:

Address:*

City:*

State/Province:*

Zip/Postal Code *

Email Address:*

Website:*

Item Information

Item Description:*

Please remember your donation will be shown on air and is a direct reflection of your business.

Quantity:*

Value of Each US$:*

Total Value US$:*

Item Description:*

List 3 Bullet Points: Special Services, Specific Uses, etc.

Limitations/Restrictions:*

Expiration Date:*

Authorization

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