Fields marked * require an entry.

Thank you for donating to the Spring Benefit and Auction. We value and applaud your support of our school!

Please be as specific as possible in the description and restrictions. All digital certificates or donation-related questions may be sent to elroauction@gmail.com.

DONATION PAGE

Item Information

Item Name:*

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Estimated Value $:*

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Please enter a valid decimal number as nnn.nn

Item Description:*

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Restrictions/Redemption Information:

I am a(n):*

Individual Donor

Business Donor

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I would like to remain anonymous:*

Yes

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Expiration Date:*

One Year After Event (5/3/20)

No Expiration

Other (Please put in Restrictions/Redemption Box)

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Gift Certificate or Merchandise:*

I will email my donation to elroauction@gmail.com

I will mail my donation to 411 East 76th Street, New York, NY 10021

For Services - Please create a certificate on my behalf

Other - Please explain in Restrictions/Redemptions Box

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Would you like us to contact you about placing an advertisement in our Auction Catalog?*

Yes

*Please enter a value

Web Address or Link (To display an electronic image of your logo or item on our auction website, please email a JPG, GIP or PNG file to elroauction@gmail.com.):

If you were contacted by a Eleanor Roosevelt High School parent, please provide his/her name, contact information, child(ren)'s name, and grade when possible.:

Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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Address:*

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Address2:

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City:*

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State:*

Province State is required for the United States

Postal Code:*

Please enter a value for Postal Code: Please enter a valid postal code.

Country / Location:*

Country is Required

At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

Please enter a value for Mobile Phone: Please enter a valid phone number. Use x to denote extension

Home Phone:

Please enter a value for Home Phone: Please enter a valid phone number. Use x to denote extension

Work Phone:

Please enter a value for Work Phone: Please enter a valid phone number. Use x to denote extension

Email:*

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