CSHA Foundation Donation Form

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Name of Donor

Contact Person (if different)

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number (including area code)

of area photo

Estimate Fair Market Value

Please provide description of item.

This description will be displayed at the auction table and may be edited by the CSHA Foundation for clarity.

Please upload photo of item.

Click or drag a file to this area to upload.

Please describe any restrictions, expirations, special conditions, or instructions.

Recognition Name

If applicable, the name you would like displayed with this donation. This may be different from the donor’s official name, such as a subsidiary, individual, or specific initiative.

Custom Captcha

Important: All auction items must be physically present at the conference for winning bidders to take with them. Please ensure you have the items on hand before submitting them for auction. Please email Connerly@csha.org for any questions. Thank you for your support!