Give-a-Jam to End Homelessness Auction Donation Form
THANK YOU for making a donation to the Coalition for the Homeless Give-a-Jam silent auction! Your gift will generate funds for our Rx: Housing pool to help young people, veterans, and chronically homeless individuals move into permanent housing.

Please fill out this form by December 1, 2017. Questions? Contact Melissa Kratzer (mkratzer@louhomeless.org) or Natalie Harris (nharris@louhomeless.org).

Donor Recognition Name *
Your answer
Address *
Your answer
Email Address *
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Phone
Your answer
Item Name *
Your answer
Detailed Item Description *
Your answer
Any restrictions (expiration date, availability limitations, etc.)
Your answer
Fair Market Value *
Your answer
How would you like to deliver your donation? *
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