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Donate to Our Auction

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:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Our evening includes:

Attire:

Party Attire

For more information please contact Anne Thurwalker at (361) 991-6004 or email athuralker@aca-cc.org.