2015 Uncorking the Cure...Tapping into Hope

Thursday, June 18, 2015 6:00 PM - 9:00 PM

Saratoga National Golf Course

Fields marked * require an entry.

Thank you for your generous offer in support of the JDRF auction! We are reviewing your submission to ensure that it meets JDRF procurement guidelines for auction items and we will respond to you shortly to confirm whether or not we are able to process your donation. We are grateful for your generosity and your partnership in helping JDRF achieve our goal to improve the lives of people with type 1 diabetes. If your item is accepted, you will receive an official letter of acknowledgement for tax purposes. For more information about JDRF and diabetes research progress, please visit our website at www.jdrf.org.

Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

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:*

Submit
Reset

We would like to thank the following sponsors:

Auction Item Donation