ACPA Silent Auction- Donation Submission Form
Thank you for supporting the American Cleft Palate-Craniofacial Association (ACPA). Our 2018 Silent Auction will take place on Thursday, April 12th at the Westin Convention Center in Pittsburgh, PA during ACPA's Annual Gala (http://meeting.acpa-cpf.org/). More than 500 attendees are expected.  Please complete the form below and contact us with any additional questions at info@acpa-cpf.org or 919-933-9044.  

All items included in the Silent Auction will be tax-deductible contributions.  Proceeds benefit ACPA's work for individuals affected by cleft lip, cleft palate, and other craniofacial conditions and the professionals who serve them. For more information, please visit www.acpa-cpf.org.

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Name (Contact Person) *
Organization (if any)
Contact Information *
Phone and email preferred.
Please describe the item, activity, or service you'd like to donate to the 2018 ACPA Silent Auction. *
If you are donating a service, please note that services provided remotely are preferred due to our national audience. For travel-based donations, please include any restrictions and/or expiration dates.
What is the estimated market value of this donation? *
If included in the auction, how would you provide your donated item to ACPA?  (ACPA staff will follow up with you to provide information based on your preferred option.)
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Is there any other information you'd like to share with us?
Thank you!
ACPA will contact you within 1-2 weeks regarding your submission.
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