Walk With Sally's White Light White Night 2023 Auction Donation Form
Walk With Sally Contact:
Melissa Ostrowski
melissa@walkwithsally.org
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 Email
Solicitor Phone Number
Donor Information
Please list Donor as:
Contact First Name
Contact Last Name
Company Name
Contact Phone Number
Contact Email Address
Address
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code
May we contact this donor for future Walk With Sally events?
Yes. You can contact the donor.
No. This is a private connection.
Inconsequential
Product/Service Donated
Donation Type (please check all that apply)
Physical Item
Gift Certificate
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)
Expiration Date
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.)
Additional attachments
Additional attachments
Additional attachments
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 July 28, 2023.
Thank you for your support!
Contact Information