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Water for People Silent Auction 2021 - Submission
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Water for People Silent Auction 2021 - Submission
Information
Water For People Silent Auction Submission Form
To make a monetary donation only, please fill out the form below and type N/A in the required fields that do not apply. The donation option is on the next page of the form.
Online form can only take credit card donations - to make a donation via check, please email
texwater@texas.net
.
Company Name
First Name
Last Name
Address
City
State
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Alaska
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Armed Forces Americas
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Iowa
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Kentucky
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Maryland
Massachusetts
Michigan
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South Carolina
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Tennessee
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Virgin Islands
Virginia
Washington
West Virginia
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Wyoming
<----- Canadian Provinces ----->
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
The Yukon
Zip Code
Email
Cell Phone
Authorized Signee
[REQUIRED]
Item Description
[REQUIRED]
Item's Value or Suggested Minimum Bid
[REQUIRED]
Picture of Item
Upload Company Logo
Shipping the Item
[REQUIRED]
I understand I will be responsible for shipping the auction item to the designated winner.
clear selection
I agree
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