Basic Rights Oregon 28th Annual Dinner & Auction

Contact Information

Name of Donor

Address

Address 2

Phone

E-mail

Donation Information

Gift Item Description

Est. Value

Special Instructions

Will the item be present at the auction?
Yes No

Do you need us to create a gift certificate?
Yes No

Does the item need to be picked up?
Yes No

Pick-up Date

Auction Donation Form

All auction donations must be received by September 15th, 2010 in order to be included in the program.

Please fill out the form to the right so that we can properly track your generous donation and send you a receipt for your gift(s). Thank you for your support of BRO.

For more information contact Juan Martinez at juan@basicrights.org or (503) 222-6151 x106.