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Thank you for donating your item to the Magic of Hope Gala & Auction.

Donate An Item

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

Are you willing to double your donation if it goes for value?*

YesNo

I am a(n):*

Individual Donor
Business Donor

I would like to remain anonymous:*

YesNo

Restrictions and/or Redemption Contact Info:

Item Delivery Method:

I will deliver or mail my gift to APDA Office
Gift is available for pick up (mail or deliver if possible)
APDA to create a gift certificate, details included on form
Certificate is being emailed to apdanw@apdaparkinson.org

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Province

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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APDA Northwest
180 Nickerson St, Ste 108, Seattle, WA 98109
(206) 695-2905 apdanw@apdaparkinson.org
www.apdaparkinson.org/Northwest

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