Auction Basket / Certificate / Gift Card Donation Form
Thank you in Advance for saying "YES"

For us to properly list the auction items, it is important to describe your items in your basket and the amount per item.

Please have your gift ready by July 14, 2023 We will use the contact information provided to make drop off or pick up arrangements. 

If dropping off your gift:
La Habra Life Center Pregnancy Clinic
860 E. La Habra Blvd. #150
La Habra, CA 90631

Monday thru Thursday 11am to 5 pm
Friday 11am to 2pm

For any other questions, please call Sandra Morales (562) 267-9199
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Email *
Representative Name
Company Name
Contact Number *
Mailing Address
Physical Address (If different)
Description of item or service being donated
Approximate Retail Value
Thank You for Your Support!

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