2019 End of Year Celebration Silent Auction Registration

Silent Auction Information

IIC will be hosting a silent auction again at the End of the Year Celebration meeting on December 5, 2019. This will serve as a fundraiser for the coalition to continue and expand its programs and services in the coming years. If you and/or your place of work are interested in putting together a basket for the event, please submit this survey so we can plan for your donation. This can be something that all employees can be involved with if each person would like to bring in something to contribute to the basket.

Question Title

* 1. We are excited that you are planning to donate a basket for the silent auction! Please complete the following information needed for registration. Thank You!

Name: *

Company: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: