Donate an Item or Experience

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Fields marked * require an entry.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Business Name:

How would you like to transport this item?*

I will deliver my donation to Bike Works

I will mail my donation to Bike Works attn: Sarah Danilson, Auction Procurement

I would like my donation picked up by a Bike Works Volunteer

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Home Phone:

Work Phone:

Email:*

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