Dancing With Chicago Celebrities 2019 Auction Donations (Generous Fans) Thanks for Donating! Please provide the following information so we can keep track of and make sure that you get proper credit for donations to this year's silent auction. Thanks! IF YOU HAVE ANY QUESTIONS PLEASE CONTACT US AT email@example.com or call us at 630-699-6327 Auction items can be sent to: Dancing With Chicago Celebrities Attn: Jane Melvin 116 West Illinois, Chicago, IL 60654 OK Question Title * 1. What are you donating? (please provide details/description of the item - e.g., dinner for how many people, for sports tickets, the date of the event, etc,) OK Question Title * 2. What is the estimated market value of the item you are donated? OK Question Title * 3. What will you be sending? A Gift Certificate A Physical Item Contact Information only (for winner to contact) Other (please specify) OK Question Title * 4. Which dancer are you supporting? Sandy Wall - DLA Piper Linda Bonelli - Deloitte Malinda Gentry - Ernst & Young Bill Joy - The Joy Group Dr Lisa Flaum - Lurie Cancer Center at Northwestern Dr. Deepa Sheth - University of Chicago Medicine Joe Grigsby - iCrossing Karen Jordan - ABC 7 Mike Berman - NBC 5 Lauren Victory - CBS 2 Dakarai Turner - FOX 32 Diego Guirado - Univision Meghan Dwyer - WGN 9 John Williams - WGN Radio Alex Brown - NFL Star Michelle McMahon - BTN + NBC Sports Chicago Other (please specify) OK Question Title * 5. Please provide contact information including a contact name, so we can send you an acknowledgement letter for tax purposes. Contact Name Company Address Address 2 City/Town State/Province -- 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/Postal Code Email Address Phone Number OK Question Title * 6. How would you like the donor's name listed in our program at the event? OK Question Title * 7. Please provide details of how you will would like to get the physical item to us. All items must be delivered or picked up prior to March 5th, 2019. I will email details to firstname.lastname@example.org I will mail the item to DWCC, 116 West Illinois, Chicago, IL 60654 I would like you to pick up the item (and will provide details in #6) Other (please specify) OK Question Title * 8. Please provide any additional details we need to know about your item. OK Question Title * 9. Would you like a copy of our IRS tax exempt letter for your records? Yes No thanks OK Question Title * 10. Would you like a copy of our W-9 form for your records? Yes No thanks OK CLICK HERE TO SUBMIT. THANK YOU!!!