Cure for Mito Auction Procurement Form

Thank you for donating items to the Mitochondrial Research Guild Auction. We will accept donation commitments for this year's auction until August 15th. Please use this form to provide information about the donation. Fill out the form and use the Verify button below. Then, you must then press the Save button on the next form after checking the information you entered.

Donor Information

Donor Name/Company (* - Required)

Donor Address

Street *

City *
State *	Zip *

Donor Phone *

Donor Email Address

Donation Details

Donor Name for Catalog *

Title for Catalog *

Description for Catalog *

Restrictions (if any)

Value *

(US Dollar)

Donation Handling *

Item/Certificate will be sent to address below.

Item will be ready to pick up after date(dd/mm/yyyy).

The guild must create a Certificate.

Donations for Sponsorship or Catalog Advertising By making a cash donation, you can become an auction sponsor or get advertising placed in the auction catalog for your organization. To find out more about being a sponsor and the various donation levels please examine this PDF document. The payment for sponsorship or advertising can be made on our auction page after completing the auction item donation process.

Sponsorship/Advertisment Donation Amount

(US Dollar)

Process Donation

Mail Checks, Certificates or Items by August 15th to:

The Mitochondrial Research Guild
PO Box 761
Lynnwood, WA 98046

For additional information on how you can help please contact Tricia Bertsch at t.bertsch@nwmito-research.org or Steve Serex at s.serex@nwmito-research.org.

Facebook Mito Group

Save The Date

Saturday
June 22nd
Annual Mito Golf Tournament

Saturday
August 3rd
Mito Guild Annual Family Picnic

Saturday
September 28th
Annual Cure for Mito Auction

In Loving Memory...

Drew Mussey 2008-2011
Justin Brubaker 1997-2009
Mariah Turner 1995-2009
Donald Dee Neuert

Click name for PDF Document