Item Donation Form

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THANK YOU FOR YOUR DONATION TO THE ONE DREAM AUCTION!

Just a few reminders:

Items offering discounts or incentives will not be accepted.

Items are due to the JDRF King of Prussia office by April 5, 2021.

Please be sure to note any and all restrictions include the expiation ate in the notes section.

Expiration Date, Pleas make no earlier than April 24,2022.

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

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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ONE DREAM SPONSORS

About Us

JDRF is the leading international nonprofit fighting to cure type 1 diabetes (T1D) while also helping those with T1D live healthy lives today. Supported by hundreds of thousands of donors, JDRF raises, invests and drives more funds to T1D research than any organization in the world. As a result, JDRF has played a key role in major T1D advances – drug, device, cell research – that have improved lives and brought us closer to our ultimate goal of a cure. JDRF is mission-driven and serves as an aggressive advocate and educational support for the T1D community. JDRF has staff and volunteers across the United States, has five international affiliates, funds research in more than 20 countries and supports insulin-aid efforts in the U.S. and around the world. Visit jdrf.org to learn more.

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JDRF is an accredited 501(c)(3) nonprofit agency.