Item Donations

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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:*

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Mobile Phone:

Home Phone:

Work Phone:

Email:*

Registration - 11 am

Introduction & Shot Gun Start - 12 noon (Lunch is served on the Course with Pizza at the club house beginning at 11 am

Happy Hour & Silent Auction - 5 pm - 6 pm

Dinner & Program - 5:30 pm

Checkout Opens - 7:30 pm