Silent Auction Gift Donation Record

Bessie’s Hope thanks you for your contribution in support of the life-transforming work to which we are dedicated. You are helping us build bridges between generations!

Donor Name:*
Please enter your full name. IF the donation is on behalf of a business, please enter the business name.
How Should Name Be Listed in Event Program?:*
Address*
Primary Mailing Address

Street Address City State ZIP Code
Work Phone:
Cell Phone:
Other Phone:
Item Description:*
Please include color, size, artist name, technical specifications, interesting notes, history, etc. -- information for the catalog that will help sell the item.
If you need Bessie's Hope to create a gift certificate for this item, please select Yes.:
If this is a certificate item, please include your promotional material (brochure, poster, photo/s, or other appropriate items) for display at the event.
- Yes
- No
Value:*
What is the retail value of this donation?
Pick Up?:
If you need us to pick up this item please select Yes
- Yes
- No
Pick up Time:
If we are picking up the item, when is the best date/time for us to pick up the donation?
Pick Up Location:
If we are picking up the donation, what is the address we should pick up from?