All proceeds will be benefiting the MUSC Childrens Hospital, Juvenile Diabetes Research Foundation (JDRF), and Camp Adam Fisher. Thank you, in advance, for the generous donation. Please fill out the information below. Items donated should be ready on or before June 3, 2011.

LIVE and SILENT Auction Donation Form

* denotes a required field

*Name of Business or Sponsor (Will appear in the event program)
*Contact Name
*Address
*City
*State
*Zip
*Phone
Fax
*Email
*Description of item(s) (This will be displayed with auction item)
*Any restrictions in the item(s)? If Yes, please specify restrictions and expiration date
*Retail dollar amount of items(s)
*Item delivery/pick-up and date	Item will be delivered Will call for pick-up
	Are you human?

Please call Lee Propes @ 843.343.2891 or Debbie Kelley @ 843.270.2211 for any additional information. THANK YOU!!