Donate an Auction Item

Fields marked * require an entry.

We appreciate that you likely receive many requests, but we ask that you consider supporting AAIM by donating an item to our Silent Auction and/or Raffle, held on the day of our event.

To donate an item:
Fill out the online form below, or download/print the form and mail it to the AAIM Office.
(Download the form here.)

If your donation can be mailed, please do so along with the form.

 If your donation cannot be mailed, please contact us and we will arrange pickup.

Our mailing address:
Alliance Against Intoxicated Motorists
870 E. Higgins Road, Suite 131
Schaumburg, IL 60173

Thank you for your generous support!

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Who is your AAIM contact/referral:

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:

Email:*

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