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Silent Auction Donation form

Thank you for considering the National Stuttering Association for a donation for our 2026 Silent Auction. This Silent Auction will take place at our Annual Conference in Charlotte, North Carolina, July 1 to July 4th, 2026. Your donations directly impact our mission of helping those and their families who stutter.

Donor Information

Company Name

Donor Name*

Email Address*

Phone Number*

Address, City, State and Zip *

Donation Details

Type of Donation*

Gift Card / Certificate

Wine / Liquor

Food / Experience

Overnight Stay

Retail Item (e.g. Bag, Product)

Sports Memorabilia

Other

Item Name / Title*

Estimated Value (USD)*

Item Description*

How will the item be delivered?*

I will ship the item

I will provide a digital certificate

I will bring it to the conference

Other

Would you like the NSA to create a certificate for this item?*

Yes

Prefer to make a financial contribution instead?

If you’d rather support the conference through a monetary donation, you can do so below. Every contribution helps us create meaningful, accessible experiences for our community.

Donation

$300

$500

$1,000