2022 Duff Shaw Donation FormPlease enable JavaScript in your browser to complete this form.Name of Donor *Contact Person (if different)Phone Number (including area code) *Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmail *Donation Type (Please only submit one donation item per auction form.) *Gift Certificate Merchandise Service Tickets OtherEstimate Fair Market ValuePlease provide description of item. *Please upload photo of item. Click or drag a file to this area to upload. Allowed file types: .png, .gif, .jpg, .pdfPlease describe any restrictions, expirations, special conditions, or instructions. Delivery *Donation to be emailed to info@connerlyandassociates.com Donation to be mailed/deliveredDonation needs to be picked upOther (specify below)CertificatesCertificates to be emailed to info@connerlyandassociates.com Certificates to be faxed to (916) 485-6374Paragraph TextSubmit