Procurer Information
What best describes you: Current Parent, Alumni Parent, Alumni, Friend or the Donor of Auction Item?
Current Parent
Alumni Parent
Alumni
Friend of The Academy
Faculty & Staff
Donor of Auction Item
Did someone invite you to donate this item to the Academy Gala?
Yes
No
Donation Information
Gala Item Solicitation Information
Your First Name
Your Last Name
Email:
Phone:
Name of Person from The Academy Who Invited Your Donation
First Name
Last Name
School Information:
Student First Name
Student Last Name
Graduation Year
Please select...
2018
2019
2020
2021
Which Arts Department is your student a part of?
Please select...
Dance
Media Arts
Music
Musical Theatre
Theatre
Visual Arts
Alumni Graduation Year
Please select...
1980
1981
1982
1983
1984
1985
1986
1987
1991
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
Which Academy Department?
Item Information:
Item Name
Do your best to create a short title for the item that's been procured.
Item Description:
Number of pieces that could be auctioned:
For example, if you procured a case of wine, you could write 24 as the number of pieces. If you don't know how many pieces this could be, please write 1.
Estimated TOTAL Value of the Item:
Expiration Date:
Restrictions (if applicable):
Do you have hard copy promotional materials for the item?
Yes
No, not yet, but I will secure these items by 3/9.
No, promotional materials do not exist/apply for this item.
Business Name:
Business Contact First Name:
Business Contact Last Name:
Title of Business Contact:
Business Address:
City:
State:
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code:
Business Phone Number:
Business Email:
Business Website:
Business Logo:
Please do not upload images that exceed 25 MB. The form will not be able to be submitted if they are larger than 25 MB. If you are unsure of how to resize images, please send the file to jfeldman@chicagoartsacademy.org. Thanks.
Photo of Item:
Please do not upload images that exceed 25 MB. The form will not be able to be submitted if they are larger than 25 MB. If you are unsure of how to resize images, please send the file to jfeldman@chicagoartsacademy.org. Thanks.
Item Delivery:
Please choose a delivery option for the item:
Item donation will be turned into The Academy by the soliciting individual listed above by no later than March, 9th.
Donor/Business requests a pick up of donated item by The Academy,
to arrive at The Academy by no later than March, 9th.
Donor/Business will mail/deliver item to The Academy.
Other
Please describe the delivery arrangement of the item.
Please remember that The Academy needs to have all items by February, 24th.
Donor Information
Soliciting Person from The Academy
First Name
Last Name
Item Information:
Item Name
Do your best to create a short title for the item that's been procured.
Item Description:
Number of pieces that could be auctioned:
For example, if you procured a case of wine, you could write 24 as the number of pieces. If you don't know how many pieces this could be, please write 1.
Estimated TOTAL Value of the Item:
Expiration Date:
Restrictions (if applicable):
Do you have hard copy promotional materials for the item?
Yes
No, not yet, but I will secure these items by 3/9.
No, promotional materials do not exist/apply for this item.
P
hoto of Item:
Please do not upload images that exceed 25 MB. The form will not be able to be submitted if they are larger than 25 MB. If you are unsure of how to resize images, please send the file to jfeldman@chicagoartsacademy.org. Thanks.
Donor Information
Donor/Business Name:
Donor/Business Contact First Name:
Donor/Business Contact Last Name:
Title of Donor Contact:
Phone Number:
Email:
Business Website:
Donor Address
Street:
City:
State:
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code:
Business Logo:
Please do not upload images that exceed 25 MB. The form will not be able to be submitted if they are larger than 25 MB. If you are unsure of how to resize images, please send the file to jfeldman@chicagoartsacademy.org. Thanks.
Item Delivery:
Please choose a delivery option for the item:
Item donation will be turned into The Academy by the soliciting individual listed above by no later than March, 9th.
Donor/Business requests a pick up of donated item by The Academy,
to arrive at The Academy by no later than March 9th.
Donor/Business will mail/deliver item to The Academy.
Other
Please describe the delivery arrangement of the item.
Please remember that The Academy needs to have all items by February, 24th.
Need assistance with this form?