Gala Auction Donation Form - Victoria Hospitals Foundation

Gala Auction Donations

Thank you for choosing to support our Victoria hospitals with an auction donation! Please complete the form below to help us promote your donation and your organization to our guests, donors, and network.

"*" indicates required fields

Business Name*

Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Phone*

Website

Business Email*

Social Media Handles

(eg. Instagram - @ourvictoriahospitals)

Logo

Drop files here or

Accepted file types: png, svg, pdf, Max. file size: 150 MB.

Please upload a copy of your logo that we can use in event collateral.

Contact Name*

First Name Last Name

Title

Main Contact Email*

Individual We Should Thank & Their Title

(If different from above)

Donation Type*

Gift Certificate

Item

Gift Certificate & Item

Donation Photos

Drop files here or

Accepted file types: jpg, png, Max. file size: 150 MB.

Please upload any images of your item that you would like to share

Pre-tax Donation Value*

Taxed Donation Value*

Additional Fees

(If applicable)

Additional Fees Paid By

Donation Description*

Restriction and/or Expiration Date*

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Gala Auction Donations

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