Item Donation

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Please consider donating a unique item for potential inclusion in our silent or live auction below. We will review your submission to ensure the item meets JDRF’s procurement guidelines and will respond to you shortly. If your item is accepted, you will receive an official letter of acknowledgement for tax purposes. We are unable to take donations under consignment. All items become property of JDRF and will be utilized for maximum benefit of the organization.

For more information about JDRF and diabetes research progress, please visit our website at www.jdrf.org/hamptonroads.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions:

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:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

Mobile Phone:*

Home Phone:

Work Phone:

Email:*

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