Donor/Company Name:

Contact:

Telephone:

Email:

Fax:

Address:

Zip:

Item Donated:

Fair Market Value
Approximate or Retail Price:$

Description for printed materials:
For tangible items, please include quantity, size, color, condition (if old or used), year or vintage.
For tickets, please include quantity, date, performers, seat locations.
For services, please include conditions, restrictions, advance notice required, location.
For restaurants/parties, please include location, number of guests, and tax, tip, liquor details.
For trips and getaways, please include location, description, number of guests, available dates, advance notice, conditions/restrictions, photo if available (cannot guarantee return).
For articles of clothing, please include size(s) (or exchangeable for size) colors, fabric(s) washability.

Description of item:

Restrictions (if any):

Delivery Process for items, tickets, gift certificates or relevant documentation. (Please check one):
Donor will mail item to Search and Care, 1844 Second Avenue, New York, NY 10128Donor will deliver item to Search and Care’s Agency Administrator, Dana PirulliOther:

My support was enlisted by:

Date of Gift Confirmation:

Please click the "Send" button below. Contributions to Search and Care’s 2017 Auction are tax-deductible to the fullest extent provided by law. Thank you for your generous support.