Chocolate Indulgence 2021 Silent Auction Donor Form
Benefitting Women In Need, Inc.

Thank you for your donation!

Contributions are tax deductible as allowed by state and federal law.

Please email your questions to
February 13th, 2021
Name/Company/Organization *
Contact Name and Phone Number *
Address *
City *
State *
Zip Code *
Email Address *
Deliver/Pick-Up Address *
Description of Item(s) Donated *
Value of Item(s) *
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