ACS Discovery Ball 2022 - Auction Item Donation: Commitment Form

Auction Item Donation: Commitment Form

Discovery Ball Chicago 2022
Donor Name/ Business: *
Donated Item(s) / Experience(s): *
Donated Item(s) Estimated Value: *
Donated Item(s) Description: *
Donated Item(s) Restrictions: *
Please list any restrictions (i.e. expiration dates, blackout dates, etc.) or write "n/a". All items donated will be used in auctions benefiting the American Cancer Society.
I am a(n): *

Individual Donor Business Donor
I would like to remain anonymous: *

Yes No
Donor Contact - Name: *

First Name Last Name
Donor Contact - Email: *
Donor Contact - Phone Number: *

Area Code Phone Number
Donor Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Solicitor's Name: *
Item Delivery: *

Certificate will be uploaded (see below to complete this process). Certificate will be emailed to Grace Glan at grace.glan@cancer.org. ACS has my permission to create a certificate (if no certificate will be provided by the donor). Item or certificate will be mailed to American Cancer Society, Discovery Ball Office, Attn: Grace Glan (One East Wacker, Suite 1500, Chicago, IL 60601) by August 29, 2022. Item or certificate will be mailed directly to the winner after the auction concludes on October 1, 2022.
Certificate Upload

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Upload the item/ experience certificate if you chose that option above. Cancel of
If you would like, please submit up to five (5) images or logos for the donated item/ experience. Thank you for your support!
Image/ Logo #1

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Image/ Logo #2

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Image/ Logo #3

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Image/ Logo #4

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Image/ Logo #5

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Notes
Should be Empty: