Media Auction 2019 Donation Form

We sincerely appreciate your donation and commitment to Orlando’s nonprofit and small business community. Please complete the form below to submit your gift.

What I Want To Donate
Item 1:*
Item 1 Value:*
Item 1 Description:*
Item 1 Regulations/Restrictions/Expiration:
If applicable.
Item 2:
Item 2 Value:
Item 2 Description:
Item 2 Regulations/Restrictions/Expiration:
If applicable.
Item 3:
Item 3 Value:
Item 3 Description:
Item 3 Regulations/Restrictions/Expiration:
If applicable.
Donor Information
Name of Company:*
(as you would like it to appear in the catalog)
Business Website:
Business Description:
(especially if it is a service)
Upload Your High Resolution Logo:
(.jpg format please)
Max. file size: 512 MB.
Donor Contact Details
Name:*
Email:*
Phone:*
Submitted By
Full Name / E-Signature:*
Initials:*

What I Want To Donate

Donor Information

Donor Contact Details

Submitted By