Fields marked * require an entry.

Thank you for donating to the 2024 Lakewood in City Lights.

Donate an Auction Item

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

Is your donation an Item, Gift Certificate/Card or and an Item AND a Gift Certificate/Card?*

If your donation is a Gift Certificate, do you need Lakewood to create it for you based on the description you entered here?

Yes

No

Please note here any specific information you would like the bidder to know such as expiration dates, black out dates, model number, website, etc.:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*