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The JDRF Celebrity Gala boasts one of the areas premier live and silent auctions. We couldn't put together such a fantastic array of items without the generosity and support of the individuals and businesses who donate. If you would like to add something to the 2013 auction, let us know!

If you have any questions please don't hesitate to contact us:
JDRF Northeast Wisconsin Chapter
1800 Appleton Rd., Suite 2
Menasha, WI 54952
P: 920-997-0038 F: 920-997-0039
northeastwi@jdrf.org

Item Donation

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

Please select from the following:*

Donor will drop item off at the JDRF Office

Donor will mail the item to JDRF

Donor requests pick up the item

Donor requests JDRF to create a certificate for the item

Donor Name (exactly as you would like it to appear in the auction catalog):*

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

2013 Celebrity Gala Sponsors

Item Donation