2024 Triangle American Heart Association Auction Donation Form

Thank you for your charitable contribution! Please provide us with the below information so we may properly recognize your gift.

Donor Company/Organization*

Donor Name *

First NameLast Name

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Website

Heart BallGo Red for WomenI will donate an item for both eventsWherever my donation fits best

Item Name*

Estimated Value*

Item Description (please be as detailed as possible)*

Item Restrictions/Limitations*

Item Expiration Date*

Date

I will digitally upload my item/gift certificate belowI request that my item be picked up (enter the details in notes below)I request to use a certificate created by the American Heart AssociationI will mail my item to the address below

Address:

American Heart Association
c/o Event Planning Coordinator
5001 S Miami Blvd Suite 300
Durham, NC 27703
Office: (919) 463-8300 or TriangleNC@heart.org

Signature*

Date*

Date

Additional Notes

Item Photo or Certificate Upload

Disclaimer:

Gifts to the American Heart Association are tax deductible as allowed by law.
Non-profit Tax ID Number: 13-5613797

Thank you for your support of the mission of the American Heart Association!

Upon submission of your item for review, we would like to inform you that you will receive a confirmation of acceptance. However, we would like to emphasize that some items may not meet our guidelines. Our team will thoroughly evaluate each submission to ensure compliance with our standards. In the event that your item does not meet our guidelines, we will promptly notify you and provide guidance on how to rectify the issue. The American Heart Association is committed to maintaining a high level of quality and ensuring that every item meets our criteria before being accepted.

Due to policies of the American Heart Association, we are not permitted to accept the following:

Tobacco, vaping or other nicotine products
Any medical treatments performed by a physician or licensed medical practitioner, including Botox, Restylane and fillers.
Dietary supplements such as vitamins, protein powders or energy drinks
Animal furs
Firearms, weapons or any kind of ammunition
Items on consignment