Auction Item Donation Form

WGB Auction Donation Form
Donor Information
Who is the donor?*

Individual/PersonalBusinessMake Donation Anonymous
Solicited by (if applicable):
Donor Name(s) as they should appear on the website:*
Or type "Anonymous" for no recognition is wanted for this donation
Contact Name*

First NameLast Name
Contact Phone Number:*

Area CodePhone Number
Contact Email:*
example@example.com
Donation Item Information
Please select the category that best describes your item:*

Art and DecorHealth and FitnessOutings and ExperiencesBeauty and PamperingHome Improvement/OrganizingSports and MemorabiliaFood and DiningJewelry and ClothingWine and SpiritsGetaways and Vacation HomesMusic and EntertainmentOther
Brief Title of Item:*
Ex. Dinner for two at, $Gift Card to, 3-Month Gym Membership
Fair Market Value:*
Detailed Description of Donation:*
Describe COLOR/SIZE/MTAERIALS/CONTENTS/LOCATION as applicable
URL link to Donation
If available, copy + paste URL of product, business, vacation home, etc. here.
Restrictions/Expirations:
If there are no restrictions, please write N/A.
Upload File/Photos

Choose Files
You can upload a Certificate, Voucher and/or any Item Photos here Cancelof
How will this item be given to WGB? Kindly plan to have items delivered by October 11th.*

I uploaded a voucher/certificate to this formI will mail it to Women Giving Back (20 Export Drive, Sterling, VA 20164)I will email the vouchers/certificate to Kelly@WomenGivingBack.orgI will contact Kelly@WomenGivingBack.org to coordinate a delivery or make other arrangements
Notes for WGB Staff?
By signing your name below, you certify that all information provided for this donation is accurate to the best of your knowledge.
Donor Signature

Clear
WGB is not responsible for misrepresented items.
Business/Company/Organization Name (if applicable):
Date

MonthDayYear
Date
Fair Market Value:
Contact Name (if different from donor):

First NameLast Name
Should be Empty:

WGB Auction Donation Form

Donor Information

Donation Item Information