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2025 Silent Auction Donation Form

Please complete and submit this form as soon as possible. If donating more than 1 item, please complete a separate form for each. We will be hosting the auction ON LINE this year! The silent auction will begin on 9/2/2025 at noon and will close on 9/4/2025 at 6:00pm. Contact jen@ltac.org with any questions.

Email a photo of your item and company logo (if applicable) to jen@ltac.org before August 22, 2025.
1.Description of Item (This description will be on the bid sheet):(Required.)
2.Estimated Value of Item*
*Please note: This silent auction is to benefit the LTAC PAC. All donated items must have a value of less than $725.00 in an election cycle. We are in the 2nd year of the election cycle. Likewise, bids on silent auction items cannot exceed $725.00. Donations may be made by both Individuals and Corporations.
(Required.)
3.Item Restrictions (if any):
Please note restrictions. Example: some dates are restricted, including holidays and hotel blackout dates.
4.Donation in lieu of item: We have no item to donate but please accept our monetary donation to the PAC of
Both corporate and individual donations are accepted - not to exceed $725.00 per election cycle.
5.I am submitting as a:(Required.)
6.Submitter Information(Required.)
7.Authorization: I authorize LTAC to auction the item listed above for their fundraising event benefitting the LTAC PAC at the LTAC annual Convention. I understand that a donated item is considered a contribution to the LTAC PAC. Donated items are NOT tax deductible.(Required.)
8.Items should be sent to Jennifer Crowell, 2573 S Krameria, Denver, Colorado 80222 by August 22, 2025.