Concert for the Planet Auction Donor Form CompanyThis field is for validation purposes and should be left unchanged.Name* First Last Please add your nameAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Number*Email* Item Name*Estimated Value $*Item Description*Please include any restrictions or expiration dates. If trip, please list the length of trip and number of guests.NotesItem Delivery or Pickup must be scheduled by October 15, 2026.* I will deliver the item to the CPF Office Please have Captain Planet staff contact me to arrange pickup Please choose from these options:Please tell us what date we can expect delivery of your donation.* If we are picking the item up, what date will it be ready to pickup?If there will be no physical item, please choose one of the following options:* I am emailing a Certificate for the winner to lauren@captainplanetfdn.org Captain Planet Foundation needs to create a Certificate for me Please upload 1-3 high-res photos of the item and company logo as part of completing this form Drop files here or Select files Max. file size: 128 MB. Add a video url OptionalAgreement to Donate* By checking this box I acknowledge that I am making a donation of the above said item(s) to the Captain Planet Foundation. Δ