Fields marked * require an entry.

Donate an item to the 2014 JDRF Miracles Gala and have your product and company name recognized by over 400 Jacksonville corporate leaders and families. All auction items and donors will be listed on this website and your company's name will be included in the Miracles Gala program booklet.

Please let JDRF know if you will be delivering your donated item to the office or need help with pick up. All items need to be received by September 29th.
Call 904-739-2101 or email Cmonroe@jdrf.org should you have any questions or require further information. Thank you for helping JDRF turn Type One into Type None!

**Please note that medical services, cosmetic procedures, diabetes management tools, and items on consignment are not accepted in our auction. Antiques should be accompanied by an appraisal. JDRF accepts only new and unused items.

Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Submit
Reset

Donate an item to the 2014 JDRF Miracles Gala and have your product and company name recognized by over 400 Jacksonville corporate leaders and families. All auction items and donors will be listed on this website and your company's name will be included in the Miracles Gala program booklet.

Item Donation

A Special Thank You to Our 2014 Gala Sponsors!