Silent Auction Donation

To download a PDF of the form below click here.
Name:*
First Last
Company Name
Email:*
Phone:*
Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Item(s) Information:
Solicited by:
Item(s) being donated:
Fair Market Value of item:
Signature of Donor:
Please indicate any restrictions (expiration, blackout dates, gift certificate required, etc.):
For Tickets
# of Tickets:
Date of Event:
Blackout dates:
Special Instructions
Select below:
- I have provided a gift certificate, or item for you.
- Please make a certificate for us
Sharsheret Attn: Yaffa Leah Field, Special Events Associate 1086 Teaneck Road, Suite 2G, Teaneck, New Jersey 07666 Phone: 866.474.2774 Fax: 201.837.5025 E-mail: [email protected] Sharsheret reserves the right to accept or reject any item or service donation. Once donated, Sharsheret holds all rights to determine placement, packaging and advertising. Sharsheret is a 501(c)(3) not-for-profit organization. Donations are tax deductible to the fullest extent allowed by law

Item(s) Information: