Please complete and submit this form as soon as possible. If donating more than 1 item, please complete a separate form for each. We will be hosting the auction ON LINE this year! The silent auction will begin on 9/3/2024 at noon and will close on 9/5/2024 at 6:00pm. Contact jen@ltac.org with any questions.

Email a photo of your item and company logo (if applicable) to jen@ltac.org before August 31, 2024.

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* 1. Description of Item (This description will be on the bid sheet):

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* 2. Estimated Value of Item*
*Please note: This silent auction is to benefit the LTAC PAC. All donated items must have a value of less than $725.00 in an election cycle. We are in the 2nd year of the election cycle. Likewise, bids on silent auction items cannot exceed $725.00. Donations may be made by both Individuals and Corporations.

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* 3. Item Restrictions (if any):
Please note restrictions. Example: some dates are restricted, including holidays and hotel blackout dates.

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* 4. Donation in lieu of item: We have no item to donate but please accept our monetary donation to the PAC of
Both corporate and individual donations are accepted - not to exceed $725.00 per election cycle.

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* 5. I am submitting as a:

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* 6. Submitter Information

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* 7. Authorization: I authorize LTAC to auction the item listed above for their fundraising event benefitting the LTAC PAC at the LTAC annual Convention. I understand that a donated item is considered a contribution to the LTAC PAC. Donated items are NOT tax deductible.

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* 8. Items should be sent to Jennifer Crowell, 2573 S Krameria, Denver, Colorado 80222 by August 31, 2024.

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