KcATC Auction/ Raffle Donation Form
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Email *
Donation Title:
Donation Description:
Donation Link:

(Note: If you have an online link to the item, include it here!)

Donor Name:

(Note: List the individual(s) who should get credit for the donation.)

Value of Donation:
Donor Mailing Address:
Donor City, State, Zip:
Donor Email:
Donor Phone:
List any restrictions that should be noted on your donation, such as expiration dates, black-out dates, exchange or transfer policies, etc.
Is there a certificate associated with this item? *
Would you like a certificate?
If there is not a certificate associated with this item, please check this box if you'd like Kansas City Autism Training Center to make a certificate for you. The certificate will use the name(s) provided in the donor field above.
Donation Source:
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A copy of your responses will be emailed to the address you provided.
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