Silent Auction Donation Form

Please complete this form if you are donating to our silent auction. Thank you!

Kids’ Chance of Ohio
Federal Tax Number 26-0216888

Donor's Full Name (name to be recognized): *

Contact Name: *

Company (If applicable):

Donor's Physical Address: *

City/ST/Zip: *

Phone: *

Email: *

Donation Description (use separate forms for each donation; be very detailed) *

Retail Value: *

Cash donation amount (if donating cash):

Attachment (If you have a document to support this donation, attach here):

Please upload your company logo so we can properly recognize your donation. *

Fields marked with * are required.

Your form submission WILL be encrypted using SSL to ensure your privacy.