Epilepsy Foundation

Silent and Live Auction Donation Form

2021 Annual Gala
Donor Information 










References

If you were referred by a specific individual, please share their name below:


Item Information 






If you are donating a service or gift certificate, please include: name of primary contact, instructions on how to redeem item, date of expiration.

Logistics

All donated items can be collected or mailed to the Epilepsy Foundation Northern California, 909  Marina Village Pkwy #239 Alameda, California 94501 

All further questions can be directed to gala@epilepsynorcal.org and to Madeleine, Special Events Manager, at 510-469-0844

Thank you for your donation!