Donation Submission
Next NHPTV Auction:
May 2-11, 2008
To receive on-air promotion during the live TV Auction just complete and submit this form.
If you have any questions about donating or volunteering, please email us at or call the Auction office at (603) 868-4432.
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- required fields
Company:
First Name:
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Last Name:
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Address:
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City:
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State:
NH
MA
ME
VT
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
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Zip:
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Phone:
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Ext.
FAX:
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Email:
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Website:
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Donation:
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Retail Value:
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CERTIFICATE DONATIONS
I'll provide my own certificate:
Yes
No
Please mail to:
NHPTV Auction
268 Mast Rd.
Durham, NH 03824
High bidder is asked to use Certificate by:
Exchangeable?
Yes
No
N/A
Installation Included?
Yes
No
N/A
Service radius?
(i.e. 50 mile radius of Durham)
Description for on air script:
Limitations, Blackout Dates, Special Features
NON-CERTIFICATE DONATIONS
Description for on-air script:
Exchangeable?
Yes
No
N/A
I can ship or deliver my donation:
NHPTV Auction
268 Mast Road
Durham, NH 03824
Yes
No