Auction Donation Agreement

Item Description*
Please include as much detail as possible for the catalogue description
Expiration Date*
Please note event date is November 5, 2021
MM slash DD slash YYYY
Auction Item*
Physical Auction Item (memorabilia, gift basket, etc.)
Digital Auction Item (gift certificate, experience, hotel stay, etc.)
Upload Digital Auction Item
Please upload the gift certificate, redemption code, or other source of gift documentation.
Max. file size: 128 MB.
Physical auction item provided by
Please mail physical auction item by Monday, October 25th to the following address:
Inova Health Foundation
8110 Gatehouse Road, Suite 200 East
Falls Church, VA 22042-1210
Are there any limitations or restrictions?
Please describe limitations
Estimated Value*
All donations to the Inova Honors Auction are tax deductible as allowed by law. Federal Tax ID: 54-1071867
Promotional Photo of Auction Item
This photo will be used on our auction website
Accepted file types: png, jpg, pdf, Max. file size: 128 MB.
Contact Person
Contact First*
Contact Last*
Contact Email*
Contact Phone*
Donor Information
Donor Name(s)*
This will be the listing in the auction catalogue unless otherwise specified.
Donor Address*
Street Address Address Line 2 City State ZIP Code
Donor Email*
Donor Phone*
Confirmation
Electronic Signature*
Please enter your full name
Consent*
By electronically signing your name and selecting "I agree" you are completing this agreement and confirming that the information above has been filled accurately to the best of your knowledge.
I agree
Security Question

_________________________________________

Are you unable to donate an item to the auction? Instead, please consider the opportunity to place a tax deductible donation to Inova Honors.

MAKE A DONATION

Auction Donation Agreement

Auction Donation Agreement

Contact Person

Donor Information

Confirmation

Are you unable to donate an item to the auction? Instead, please consider the opportunity to place a tax deductible donation to Inova Honors.