Annual Gala Dinner Silent Auction Donation Form

Organization

Contact Name(Required)

Contact Title

Email(Required)

Phone(Required)

Address

List item/items to be donated, with a description and an Estimated Retail Value

Example:
1) Two $25 gift cards to Abc store, retail value $25 each
2) bottle of red wine, from Xyz winery, retail value $150

Item 1

Estimated Value

Item 2

Estimated Value

Item 3

Estimated Value

Item 4

Estimated Value

How will you donate item(s)? (select one)

To arrange pickup, contact Becky Upchurch, Silent Auction Chairperson at (310) 562-5274

Will be mailed or delivered to the Santa Monica History Museum, P.O. Box 3059, Santa Monica, CA 90408

Name of person submitting this form

First Last

Date (readonly)(Required)

CAPTCHA

501(c)(3) non-profit organization. Tax ID # 95-3019295