2024 Orange @ Heart Gala Auction Donation Form
Name of Donor (how you would like to be listed in the program)
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Description of item (s) being donated:
*
Do you want us to come pick up the item?
*
Yes, I will let you know when it is ready
No, I will drop it off
Submit
Should be Empty: