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Restoring Hope Gala

Thanks for donating an item for our live auction and for believe in a vibrant life of freedom for every person! Please complete the following form and also email us at pavingtheway@scarletroad.org with any images for your item for our brochure or certificates to be printed. Thanks!

Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Item Restrictions and Conditions/ Other Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

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Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Auction Item Donation

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