Silent Spring Institute · 2024 Gala Auction Form

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Silent Spring Institute Gala 2024 Auction Donation Form

Thank you for your interest in supporting Silent Spring Institute! Your donation to the Live/Silent Auction is an important part of our fundraising.

By filling out this form, you agree to donate the item(s) listed below to Silent Spring Institute Gala to be held on October 8, 2024, at the Museum of Science Boston and indicate that you understand that 100% of Auction proceeds, less any credit card processing or related fees, will be donated to Silent Spring Institute. In recognition of your donation, your company will be named as the donor of the item(s) on materials related to the Gala.

For your records, Silent Spring Institute is a non-profit organization with Federal Tax Id # 04- 3237106.

Contact Information

Name

First Name

Last Name

Company Name

Verify Email

Phone

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Donation Information

Item Name

Item Description

Estimated Value

Restrictions (if applicable)

Donor Name (as it should appear)

Instructions for winners on redemption

Item Image Upload

Please upload an image file of the item that you are donating.

Company Logo upload (as it will appear on auction site)

How will the item be delivered?

Upload e-certificate

Please make an e-certificate on our behalf

Physical giftcard or item will be mailed

Physical giftcard or item will be dropped off

Physical gift or item needs to be picked up

Please let us know the hours and location for pickup. If there is a different contact we will need than the one listed above, please add here and we will be in touch.

E-certificate upload

Please upload a PDF or image of the E-certificate.

If physical giftcard or item will be mailed, please send by August 1 to:

Attn: Shari Caplan

Silent Spring Institute

320 Nevada Street Suite 302

Newton MA 02460