Las Vegas Auction Item Donation Form

Las Vegas Auction Item Donation
To donate multiple items, please complete a separate form for each one.

If you need to contact us or provide additional information about your donation, please email our team at Nevada@heart.org.
DONOR INFORMATION
Contact Name*

First NameLast Name
Are you donating on behalf of a business?*

YesNo
Business Name*
Contact Email*
example@example.com
Contact Phone*
Please enter a valid phone number.
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
ITEM INFORMATION
Item Name*
Item Value*
Please enter a dollar amount.
Item Description*
Quantity, size, color, material, dates, number of people and/or other information to ensure proper understanding of the item.
If you have an image of the item, please upload below (optional):

Cancelof
Expiration Date (if none, put N/A)*
Item Restrictions (if none, put N/A)*
If you are donating a certificate (pick one option):
If you are donating a tangible item, when will it be available for pickup?
Should be Empty: