Champions for Children Luncheon 2020

Silent Auction/Raffle Donation Form

Thank you for donating to support the Champions for Children Luncheon. 100% of all contributions directly support Hope Street Margolis Family Center through California Hospital Medical Center Foundation, a 501 (c)(3) charitable organization.
Tax ID #95-4000909.

*All donations must include a completed Donation Form so that the donor can be appropriately acknowledged.

Donations can be sent to:

California Hospital Medical Center Foundation
c/o Laura Reynolds
1401 S. Grand Avenue
Los Angeles, CA 90015
laura.reynolds@dignityhealth.org
213-742-6224

Champions for Children Silent Auction Donation
Questions that require an answer are marked with  *
   
1 * Donor Name
   
   
2 Company Name (If the company is the donor)
   
   
3 * Email Address:
   
   
4 * Phone Number:
   
   
5 * Donor Street Address:
   
   
6 * City:
   
   
7 * State:
   
   
8 * Zip Code:
   
   
9 * Donation:
   
   
10 * Donation Description: Please include as much detail as possible, including the number of tickets, dates, seat numbers, black-out dates, exclusions, restrictions, etc.
   
   
11 * Approximate retail value?
   
   
12 * Please select one:
   
   
13 Additional Donation
   
   
14 Donation Description: Please include as much detail as possible, including the number of tickets, dates, seat numbers, black-out dates, exclusions, restrictions, etc.
   
   
15 Approximate retail value?
   
   
16 Please select one: