APDA RI MOH Silent Auction Donation Form

Rhode Island Magic of Hope Gala & Auction Item Donation Form

This form is to donate an item to be used in the Silent or Live Auction on March 7, 2026 at the Omni Providence in Downtown Providence.
Donated Item(s) Information:*
For Live Auction items, if bidding goes for value, are you willing to double your donation?*

YesNo
Donor Name*

First NameLast Name
I would like to remain anonymous:*

YesNo
Donated by: Individual or company name that you want to appear in the program*
Contact Name (if different from donor)*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Donor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Item Delivery Method: Please select one.*

Certificate is attached.Please generate a certificate for me (all details must be included on this form).I will deliver or mail my item to APDA Rhode IslandPlease contact me to pick up the item.
Upload the Item Certificate*

Cancelof
If available, upload a photo of the item

Cancelof
Item will be delivered to APDA Rhode Island no later than*

MonthDayYear
Date
Item will be available for pickup after*

MonthDayYear
Date
Pickup Details *
Additional Notes/Comments About Donated Item(s)
If donating more than one item, please start your comments with the name of the item.
Auction Mailing Address & Contact:

APDA Rhode Island Chapter
PO Box 114098
North Providence, RI 02911

Questions??
apdari@apdaparkinson.org | 401-439-8435

All donations are tax-deductible to the extent allowed by law. Please retain a copy of this form for your records.
American Parkinson Disease Association Federal Tax ID# 13-1962771

If possible, please mail or arrange for the pickup of the item(s) no later than December 1.
Should be Empty:

Rhode Island Magic of Hope Gala & Auction Item Donation Form