CentraCare Health Foundation - Events - Holly Ball

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Holly Ball - Silent Auction Form

If you are interested in donating an item to the Holly Ball Silent Auction, please complete and submit the form below.

An Asterisk (*) indicates a required field.

*Business/Company Name:
*Address:
*City:
*State:
*Zip:
*Phone Number:
Fax Number:
Email Address:
*Item(s) to be donated:

Detailed description of donated item: (e.g. dimensions, colors, ect. to assist us in showcasing and describing your donation in our printed materials):

*Estimated value of item(s): $
Decoration theme or name:
Contact Person
*Last Name:
*First Name:

Contact the Foundation
E-mail Us or Call Us Toll-free: 800-835-6652, ext. 52810

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