To donate an item or experience to Fire & Ice: Prom Eras, please complete this online form:

All Prize Baskets and Live Auction items should be available for pickup and “photo-ready” by January 1, 2024.

Fire & Ice - Prize and Live Auction Donation

Thank you for choosing to make a contribution to our fundraiser! For more information about the Western Missouri Medical Center Foundation, please visit WMMC.com/Foundation.

Donor Name:*
First Last
Organization Name:
Address:*
Street Address City State / Province / Region ZIP / Postal Code
Phone:*
Email:*
Item Type:*
Name of Item / Basket:*
Estimated Dollar Value:*
Delivery Method:*
Please provide a brief description of the item you are donating and any other notes you would like to add:*
Date*
MM slash DD slash YYYY
Signature*

To donate an item or experience to Fire & Ice: Prom Eras, please complete this online form:

Fire & Ice - Prize and Live Auction Donation

For more information about the event: wmmc.com/fire

For sponsorship opportunities, contact the Foundation at [email protected].
CLICK HERE for our sponsorship form.

To donate an item or experience to Fire & Ice: Prom Eras, please complete this online form:

Fire & Ice - Prize and Live Auction Donation

For more information about the event: wmmc.com/fire

For sponsorship opportunities, contact the Foundation at [email protected]. CLICK HERE for our sponsorship form.

For sponsorship opportunities, contact the Foundation at [email protected].
CLICK HERE for our sponsorship form.