Silent Auction Donation Form

Silent Auction Donation Form
Thank you for your interest in donating to Samaritan House's 2026 Step into the Light Gala on Saturday, April 18, 2026. Your donation will be used in the event's Silent Auction. Please complete one (1) form submission per item.

A donation receipt will be provided for your records.
Donor Information
Name

First NameLast Name
Company Name
Please provide if the company is donating the item.
Email
example@example.com
Phone Number
Please enter a valid phone number.
Street Address
Include street address, city, state, and zip
Donate Anonymously

YesNo
Donor Display Name
If not anonymous, this is how the donor name will be publicly displayed.
Item Information
Item Name
Item Description
Include quantity, size, color, number of persons, days/nights, and all restrictions.
Estimated Dollar Value
Photos of Item

Cancelof
How will the item be provided to Samaritan House?

Donor will deliver itemItem needs to be picked upDonor providing certificateSamaritan House will need to create a certificateOther
Should be Empty:

Donor Information