Auction Donation Commitment Form
A quick form to confirm your donation for Union Settlement's Spring Benefit Silent Auction on April 21, 2020.
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Donor Information
This section is required. Please enter the information of the person/business we should thank for the donation.
Business Name *
Business Address *
Example: 123 Street Road New York, NY 10001
Name *
Email *
Phone *
(XXX) XXX-XXXX
Contact information
Fill out the following section if the information is different than above. If the information is the same, then skip to the next section: Donation Information.
Contact Name
Email
Phone
Donation Information
This section is required and please include the estimated value for each item.
Name of the item(s) *
Please separate items with a semicolon
Estimated value of the item(s) *
Please separate items with a semicolon
Please include a description of each item *
Please separate items with a semicolon
Are there any special conditions? *
Expiration dates, event dates, handling, limitations, etc.
Delivery method: *
Please select one of two. Please contact Jason Rost at jrost@unionsettlement.org with any questions or special instructions.
Display material: *
Please select one of three.
Confirmation
For tax purposes, this serves as a receipt for an in-kind donation. No goods or services were provided in consideration of this gift.*

For more information or to send images/logos, please contact Helen Hubacher at hhubacher@unionsettlement.org or call (646) 565-3856.
Signature *
Type in full name of donor
Date *
MM
/
DD
/
YYYY
I confirm that this donation is authorized *
Required
*Print this page for your records before clicking submit
We can always send a copy of your responses upon request
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This form was created inside of Union Settlement Association.