APDA MA MOH Silent Auction Donation Form

Massachusetts Magic of Hope Gala & Auction Item Donation Form

Please fill out this form if you would like to donate an item to be used in the Silent or Live Auction on November 7, 2025 in Boston, MA.
Donated Item(s) Information:
For Live Auction items, if bidding goes for value, are you willing to double your donation?
Donor Name

First NameLast Name
I would like to remain anonymous:
Donated by: Individual or company name that you want to appear in the program
Contact Name (if different from donor)

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Donor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Item Delivery Method: Please select one.
Upload the Item Certificate

Cancelof
If available, upload a photo of the item

Cancelof
Item will be delivered to APDA Massachusetts no later than

MonthDayYear
Date
Item will be available for pickup after

MonthDayYear
Date
Pickup Details
Additional Notes/Comments About Donated Item(s)
If donating more than one item, please start your comments with the name of the item.
Auction Mailing Address & Contact:

APDA Massachusetts Chapter
85 East Concord Street, Ground Floor
Boston, MA 02118

Questions??
jvanderstad@apdaparkinson.org | 617-634-2497

All donations are tax-deductible to the extent allowed by law. Please retain a copy of this form for your records.
American Parkinson Disease Association Federal Tax ID# 13-1962771

If possible, please mail or arrange for pickup of item(s) no later than Oct 10.
Should be Empty:

Massachusetts Magic of Hope Gala & Auction Item Donation Form