2019 HRC LA Dinner Auction Donation Form
Thank you for your support of the Human Rights Campaign! Please fill out the fields below to donate an item to the 2019 HRC Los Angeles Dinner on March 30, 2019. We will be in touch with any additional questions, and you can always email the auction chairs at auction@hrcla.net.

Proceeds from the dinner auction directly benefit our 501(c)(4) - 501(c)(4) 52-1243457 and donations are not tax deductible.

Donor Status
Company Name
Your answer
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Title/Occupation
Your answer
Email *
Your answer
Address
Your answer
Item Title *
Short title you would like bidders to see
Your answer
Item Description *
Description of item you would like bidders to see
Your answer
Restrictions
Black out dates, max value, items
Your answer
Estimated Retail Value *
Your answer
Expiration Date *
Default is 3/10/2019
Your answer
Please Choose Display Options
If Donor gives HRC permission to create a certificate, please include redemption directions
Name, Email, Phone number for redemption
Your answer
Collection or Delivery of Item
Name of HRC representative who asked you to donate
Your answer
Submit
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