2022 Online Auction Agreement Page One To guarantee maximum promotional benefits, including pre-event promotion, please submit the form and items by Friday, July 1st, 2022 Learn about the Benefits of Participation and other details at: knpr.org/auction2022info Question Title * 1. 1 Business: Contact Name: Job Title: Address: City/Town: State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: Business Website URL: Email Address: Phone Number: Question Title * 2. Package Name #1: Question Title * 3. Number of Package(s) Offered: Question Title * 4. Estimated Retail Value of each package: Question Title * 5. Detailed Package Description: "The winner of this package will receive..." Question Title * 6. When does this package expire? *Please note: Distribution rates vary, and some winners may not receive their packages until September 2022. Unless the package you are donating is time-sensitive, we ask that you give the winners at the very least 6 months to redeem their package. If no expiration, please just type "n/a" Question Title * 7. Please Select One: I want NVPR to Design Certificates for my Package I will mail the Certificates or Items to NVPR I will E-Mail the Certificates to NVPR Other (please specify) Question Title * 8. Please list out any additional restrictions, black-out dates, exclusions, etc. here: Question Title * 9. [Optional] Please include any and all additional information about your business that you would like us to include on your auction package page(s) here: Question Title * 10. Do you have an additional auction package? Yes No Next
