Auction - Donate an item

Fields marked * require an entry.

Thank you for your interest in DONATING AN AUCTION ITEM to the

UMass Medicine Winter Ball

Friday, December 4, 2015

Item Information

Item Name:*

*Please enter a value

Estimated Value $:*

*Please enter a value
Please enter a valid decimal number as nnn.nn

Item Description:*

*Please enter a value

Restriction/Notes:

I am a(n):*

Individual Donor

Business Donor

*Please enter a value

I would like to remain anonymous:*

Yes

*Please enter a value

Contact Information

Company:*

Please enter a value for Company:

First Name:*

Please enter a value for First Name:

Middle Name:

Please enter a value for Middle Name:

Last Name:*

Please enter a value for Last Name:

At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

Please enter a value for Mobile Phone: Please enter a valid phone number. Use x to denote extension

Home Phone:

Please enter a value for Home Phone: Please enter a valid phone number. Use x to denote extension

Work Phone:

Please enter a value for Work Phone: Please enter a valid phone number. Use x to denote extension

Email:*

Please enter a value for Email: Please enter a single valid Email.

Processing, Please Wait...

Blue Cross Blue Shield of Massachusetts, Inc.
Crothall Healthcare
Vital EMS in collaboration with MedStar Ambulance
Bank of America
Beaumont Rehabilitation and Skilled Nursing Services a part of Salmon Health and Retirement
Expense Reduction Analysts
Fallon Health
Greenwood Industries Inc.
Mirick O'Connell
Shields Health Solutions
Tufts Health Plan
UMass Foundation
Revelation Productions
Deloitte & Touche LLP
Harvard Pilgrim Health Care, Inc.
PricewaterhouseCoopers
S&F Concrete Contractors, Inc.
Worcester Telegram & Gazette
Notre Dame Health Care
Quest Diagnostics
Sheehan Health Group
Shields MRI
Vibra Healthcare Campus: Meadows Rehab and Nursing Center and Vibra Central Hospital Long Term Acute Care Hospital
Army & Army, LLC
Bank of Canton
Benefit Development Group
Bowditch & Dewey, LLP
CIGNA Healthcare
Coghlin Electrical Contractors, Inc.
Cutler Associates
Delta Mechanical HVAC LLC
Harmony Healthcare International
Kelleher & Sadowsky Associates, Inc.
McKesson
North Pointe Wealth Management
Oriol Health Care
Phillips DiPisa
Pierce Property Consultants
Saint Francis Rehabilitation and Nursing Center
The S/L/A/M Collaborative
UniBank
VNA Care Network Foundation
Wagner Motors
Whalley Computer Associates, Inc.
Worcester Health Center
Mr. and Mrs. David Brook