* Required Fields

Organization (Donation By)*

Contact Name (Provide Full Name)*

Website*

Phone Number*

Donation Contact Email*

Mailing Address*

City*

State*

Postal Code*

Country*

Title of Auction Package*

Fair Market Value of Package (USD)*

Destination Experience Components Package

If you have a destination package, please fill out the following information.

Hotel/Lodging

Transportation

Dining

Experience/Activity

State all limitations or restrictions such as blackout dates, returns/exchange policies, etc.

Fair Market Value (USD)

Expiration Date(s)

Please allow at least one year from date of auction – 31 December 2023

Product/Service Donation

Detailed Product Description

Fair Market Value (USD)

Expiration Date(s)

Please allow at least one year from date of auction – 31 December 2023

Additional Auction Item Information

All auction item certificates, logos, artwork, pictures and submission forms are due by Tuesday, 29 November 2022 and should be emailed to cbreden@ceir.org.*

Notify me of winning bidder and I will ship directly to them.I choose to ship the item(s) to CEIR to send to the winning bidder

If shipping prize items to CEIR, the deadline to receive is Thursday, 17 November 2022. If you have questions, please contact Cathy Breden at +1 972.687.9201 or at cbreden@ceir.org