MPMA Auctions Donor Form 
Mountain-Plains Museums Association 2016 Conference 
October 23-27, 2016   Oklahoma City, OK 

Name:_________________________________________________________________ 

Company:______________________________________________________________ 

Address:__________________________________________________________________________ 
City 	State 	Zip 
Phone Number:_____________________ 	Email:_____________________________________ 

Description of item(s) donated: 	Estimated Value: 

1.________________________________________________________ 

_________________________________________________________ 

2. 

3. 

_______________________________________________________ 

4. _______________________________________________________ 

_________ 

Please bring your items with you to the conference or mail small items along with this completed form to: 
Mailing site not yet determined

If you are mailing large items, please send them to the hotel using the system below (PENDING)
(There may be a  per box receiving fee charged by the hotel.)

(Donations are tax deductible as allowed by law - receipts provided upon request)