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2024-25 Dreams Auction Procurement Form

Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Business Name

Answer Required

Street Address

Answer Required

City

Answer Required

Zip Code

Answer Required

Phone Number*

Number Required

Email Address*

Answer Required

Relation to LCA:*

Answer Required

Business

Faculty or Staff

LCA Parent/Guardian

Friend

Donated Item or Service: *

Answer Required

Description of Donation:*

Answer Required

Value of Donation: *

Answer Required

Auction Item Procurement: *

Answer Required

Donor will deliver.

Request for LCA to pick up item.

Gift certificate or letter accompanies this form.

Request for LCA to create gift certificate.

Upload gift certificates or letters here:

Answer Required

Choose a file or drag it here.

Projected delivery date for donor items:

Answer Required

Confirmation Email

Email Required