2024 Game Night for Hope Raffle/Online Auction Donation Form

Game Night for Hope: Casino Royale Raffle/Online Auction Donation Form

Tax I.D. 501(c)3 #33-0529915
Thank you for donating to our event! If you have any questions, please contact our Development Associate, Hollie Charles, at hollie@ourhouse-grief.org.
Donation is being made by:*

An individualA company
Donor Name

First NameLast Name
Company Name
Name of Company Making Donation
Donor Email
example@example.com
Is the donor also the point of contact for this donation?*

YesNo
Contact Name

First NameLast Name
Not Applicable?

There is no specific contact name.
Contact Email Address*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Solicitor Name

First NameLast Name
Please Upload Company/Brand Logo (for directory)

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Please enter each donation on a separate line:*
Are you donating a physical item?*

YesNo
Please select one:

I can bring the item to OUR HOUSE.The item needs to be picked up by OUR HOUSE.Please contact me to coordinate item pick up.
Item will be given to OUR HOUSE by:

MonthDayYear
Date
Upload Item Image (for directory)

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Please select one:

I am uploading a gift certificate now.I will send OUR HOUSE a gift certificate at a later date.I would like OUR HOUSE to create a gift certificate for me.
Gift Certificate will be sent to OUR HOUSE by:

MonthDayYear
Date
Expiration Date (If possible, please make raffle/online auction donation valid until December 31, 2025 or one year from event):

MonthDayYear
Date
Upload the gift certificate

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Signature*

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Additional Notes/Special Instructions
Mailing Address & Contact:

OUR HOUSE Grief Support Center
3415 S. Sepulveda Blvd. Suite 120
Los Angeles, CA 90034

hollie@ourhouse-grief.org

501(c)3 Tax I.D. #33-0529915
Should be Empty:

Game Night for Hope: Casino Royale Raffle/Online Auction Donation Form

Thank you for donating to our event! If you have any questions, please contact our Development Associate, Hollie Charles, at hollie@ourhouse-grief.org.