Item Donation/Procurement

Fields marked * require an entry.

A Night of REST 2024 Auction Procurement Form

Thank you for donating an item for the A Night of REST Gala! Please provide details about your donation below. The items donated will support our auction to raise funds for REST. Please reach out to events@iwantrest.com if you have any questions, or run into technical difficulties with this form.

REST Tax ID #: 45-3531020

If mailing a certificate or other tangible items, please send to: REST Attn: Lisa O'Dell 4215 Rainier Ave S. Suite B Seattle, WA 98118

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Additional Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Please digitally sign your name here:*

By checking the box below, I agree and understand that all electronic signatures are the legal equivalent of my manual/handwritten signature, I consent to be legally bound to this agreement, and that this is the value of the item.:*

Yes

I am willing to donate a second identical item (dates of availability can vary) of equal value if the item is in high demand and there are multiple high bids.:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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