Pink Fling Silent Auction Donation Form

Pink Fling Silent Auction Donation Form
Name*

First NameLast Name
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Item(s) Description: Please provide a detailed description of your donation for the auction platform including restrictions, expiration, etc.

Please provide the image that best represents your donation for inclusion on the digital platform. If you prefer your logo to be used, please provide it. Email your image or logo to carrollfoundation@lifebridgehealth.org.
Retail Value
Please indicate how the item will be received: (please make every attempt to donate by October 9th)*

Mailed to: Pink Fling c/o Carroll Hospital Foundation, 200 Memorial Ave., Westminster, MD 21157Arrange for pick upTo be delivered to Carroll Hospital Foundation Office
Please verify that you are human*
Should be Empty: