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Hospice of Holland
Celebration Auction Donation Form
Thank you for choosing to contribute an item to our auction! All donations to the auction are in-kind contributions and will receive full recognition and equivalent sponsorship benefits, if applicable. Please note that the final inclusion in the silent/vocal auction is at the discretion of Hospice of Holland. If, for any reason, a donation is not included, the item(s) will be returned to the donor.
Donor Information
Donor Name (As it will appear in written materials)
*
Contact First Name
*
Contact Last Name
*
Email
*
Phone
Address 1
City
State/Province
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
U.S. Minor Outlying Islands
Virgin Islands
Armed Forces Americas
Armed Forces Europe, the Middle East, an
Armed Forces Pacific
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Northwest Territories
Nunavut Territory
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Zip
Donation Details
Donation Description. (Please describe item(s) below. Include exceptions such as black-out dates, expirations, and requirements if relevant.
*
Fair Market Value $
*
How will Hospice of Holland collect this item?
I will send in the mail to 270 Hoover Blvd. Holland, MI 49423
I will drop off at the Hospice of Holland office
HOH staff will pick-up (please indicate pick-up requirements in above description)
Other
Contact Preference
Email
Phone
Once you click submit, a staff member from Hospice of Holland will contact you within a few business days regarding your donation.
