Donate Auction Item

Fields marked * require an entry.

Thank you for your interest in donating to our event.

Vacation destinations, tickets, products, spa services, home services, gift certificates...we welcome donations of all types!

Please fill out the form below if you would like to donate an item to our auction.

The placement of your donation will be up to the planning committee.

Please mail or deliver the item or certificate to the address below before February 5th!

Thank you for your support.

Attn: Nicole Langowski/Wine Women & Shoes
8710 W 13th St. North, Suite 107 Wichita KS 67212

If you have any questions, please contact nicole@kschildren.org

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*