2025 Fairbanks Auction Donor Form

Fairbanks Auction Donor Form
Contact: Alicia Warren
Email: Alicia.warren@heart.org
Phone: 907.865.5312

Deadline for your donation(s):

Auction for Go Red for Women 2/1/2025
Upload Donor Logo, if applicable.

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Item Name*
Estimated Value $:*
Item Description*
Expiration Date:*
We request that items do not expire prior to June 30, 2025
Restrictions*
Delivery/Mailed by DonorNeed AHA Auction Committee to pick up item
BusinessIndividual
Name of Business if you checked "Business" in the last question (required):
YesNo
Contact First and Last Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
The American Heart Association is a 501(c)3 organization

Federal ID#: 13-5613797
Should be Empty: