Silent Auction Donation Form

Family Medicine Foundation of Michigan is seeking tax-deductible donations for its Silent Auction to be held in conjunction with the Michigan Family Medicine Conference & Expo. Proceeds from the auction will be used to support the advancement of Family Medicine in Michigan in the areas of student and resident interest, professional development, continuing medical education, research and public health initiatives. If you wish to donate, but aren't sure what to give, here are some ideas:
  • Apparel/accessories (neck ties, purses, scarves, etc.)
  • Art, jewelry and/or handmade items (quilts, etc.)
  • Books and/or magazine subscriptions
  • Concert or event tickets
  • Gift cards/dining certificates
  • Services (mentorship, personal coaching, etc.)
  • Timeshares/weekend get-aways
  • Themed gift baskets

Please submit this donation form with item description by July 1. You may deliver your item to MAFP Headquarters in Okemos prior to the conference (no later than July 24) or deliver your item on-site at Shanty Creek Resort no later than 9 a.m. on Thursday, August 1. If you are donating a certificate, please ensure its validity begins by August 4. The minimum value of a donation should be no less than $30.

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* 1. Donor Contact Information

Donation Details
Please provide a description of your Silent Auction donation that will be included in the online listing of items posted on the MAFP website, and to be included and in the on-site preview packet. MAFP staff reserves editing rights to make necessary changes to suggested item name and description.

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* 2. Item Name:

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* 3. Estimated Value of Donation (required to set the minimum bid; minimum value should be no less than $30):

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* 4. Item Description:

Thank you for your donation!