Request Form

AUCTION ITEM REQUESTS

Name of Organization *

Contact Person

Address *

City *

State *

Zip Code *

Phone *

Email *

Date of Event *

Year

Month

Day

Location of Event *

Please briefly explain how the funds you raise will be used *

Impression 5
Science Center

200 Museum Drive, Lansing, MI 48933 517.485.8116

MONClosed
TUES - FRI9:30 a.m. - 4:00 p.m.
SAT9:30 a.m. - 5:00 p.m.
SUN11:30 a.m. - 5:00 p.m.

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