Fields marked * require an entry.

Donate an item to the 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 call 904-739-2101 or email Lsetzer@jdrf.org should you have any questions or require further information. Thank you for your support of JDRF!

**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.

Donate to the Silent or Live Auction

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*