Fields marked * require an entry.

Auction Procurement Form

Thank you so much for considering a donation to the auction! The Loup couldn't do what it does without the support of our very generous auction donors. Every year donors across Okanogan county and beyond create an auction that brings fun to those bidding on your great items and financial support to the non-profit Loup.

Please fill out the following fields as completely as possible.
When entering the Item Description for a certificate item that will be printed by LLSEF, please enter all the pertinent information that needs to go on the certificate.
All items will expire one year from date of auction, unless otherwise noted in Expiration /Restrictions.
When entering a number in the value field, just put in the whole number, no $ or decimal.

Item Donations

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Expiration /Restrictions:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Who procured this item?*

If this is a certificate item, how will this certificate be delivered to the Agriplex?*

If this is a physical item, how will it be delivered to the Agriplex?*

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

Item Donations

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