White Light White Night 2019 Auction Donation Form
Walk With Sally Contact:
(310) 322-3900 ext. 107
Walk With Sally Solicitor Information
Solicitor Name (who requested item; if you are the Donor, please put your name in this section and the one below)
Solicitor Phone Number
Please list Donor as:
Contact First Name
Contact Last Name
Contact Phone Number
Contact Email Address
District Of Columbia
Northern Mariana Islands
May we contact this donor for future Walk With Sally events?
Yes. You can contact the donor.
No. This is a private connection.
Donation Type (please check all that apply)
Auction Item Name
Detailed Description (include specifications, location, selling points, exciting features; don't worry, we will make it look pretty!)
Special Instructions, Black Out Dates or Restrictions (if applicable)
Retail Value (if unknown or "priceless" please estimate)
Please check all that apply
Solicitor will drop off the item(s).
Donor will drop off the item(s).
Solicitor will mail the item(s).
Donor will mail the item(s).
Contact the solicitor to obtain the item(s).
Contact the donor to obtain the item(s).
Please generate a certificate for me.
Certificate is attached below.
If generating a certificate, please include how winner will redeem (contact name, contact information, etc.)
Attachments/Additional info on the item (certificate, photos, logo, etc.)
Walk With Sally reserves the right to use items where they best fit for the benefit of the organization.
TAX ID 61-1472800
Please submit this form by June 30, 2019.
Thank you for your support!
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