2024 Support Summit Auction Donation Form

2024 Support Summit Auction Donation Form
First and Last Name*

First NameLast Name
Donor Company/Organization*
Donor Name

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Website
Date of Donation*

MonthDayYear
Item Name*
Value*
Item Description as it will appear on the Greater Giving Auction Website*
Item Restrictions/Limitations:*
Item Expiration Date:*
Additional notes:
Item Photo or Certificate Upload*

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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!
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