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Thank you for your generous offer in support of the JDRF auction! Once the form below is submitted, we will review your submission to ensure that it meets JDRF procurement guidelines for auction items and we will respond to you shortly to confirm whether or not we are able to process your donation. We are grateful for your generosity and your partnership in helping JDRF achieve our goal to improve the lives of people with type 1 diabetes. If your item is accepted, you will receive an official letter of acknowledgement for tax purposes. For more information or questions about item donations, please contact Abby at 225-932-9511 or ahamilton@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

When will your item(s) be available for pick-up or drop-off?*

How would you like for us to retrieve the item(s)?*

I will be mailing the item(s) to your office at 9457 Brookline Avenue, Baton Rouge, LA 70809

I will have the item(s) delivered to your office at 9457 Brookline Avenue, Baton Rouge, LA 70809

I would like a JDRF staff/volunteer to pick up the item(s)

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Item Donation

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