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

Consent(Required)

I agree to donate the item(s) stated above to the Santa Monica History Museum Gala Dinner Silent Auction

The person named below (submitting the form) agrees to donate the item(s) stated above to the Santa Monica History Museum Gala Dinner Silent Auction

Name of person submitting this form

First Last

Date (readonly)(Required)

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

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