2020 Gifts Across Nebraska Virtual Auction Donation Form

2020 Gifts Across Nebraska Virtual Auction

For additional about the Nebraska Health Care Foundation and the 2020 Gifts Across Nebraska Virtual Auction, click here.

Name
Contributing Company/Person*
Please indicate the name of the contributing person or company as it should appear on recognition.
Contact Information
Contact Name*
First Last
Company Name
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Prize Donation Details
Fair Market Value
Indicate the fair market value of the item or package being donated.
Item/Package Description
Provide a detailed description of the item or package, including unique qualities.
Upload Photo of Item/Package
Please upload a photo of the item or package.
Donate another item?*
- Yes
- No
Prize Donation Details
Fair Market Value
Indicate the fair market value of the item or package being donated.
Item/Package Description
Provide a detailed description of the item or package, including unique qualities.
Upload Photo of Item/Package
Please upload a photo of the item or package.
Donate another item?*
- Yes
- No
Prize Donation Details
Fair Market Value
Indicate the fair market value of the item or package being donated.
Item/Package Description
Provide a detailed description of the item or package, including unique qualities.
Upload Photo of Item/Package
Please upload a photo of the item or package.
Donate another item?*
- Yes
- No