Golf Auction Form by Amanda Lucas | Mar 31, 2023 Golf Auction & Prizing Submission Form Name(Required) First Last Phone(Required)Email(Required) Are you representing yourself or a company?(Required) Representing myself Representing a company/organization If you are representing a company, please give its name here as you would like it to appear in our silent auction catalogue.Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Name of Auction Item(Required)Description of Donation(Required)*Please provide a detailed description of the item you are donating, including any restrictions. If you are donating a gift basket, please include a list of items included in the basket.Total Monetary Value(Required)Do you require a charitable tax receipt?(Required) YES NO *Please note that tax receipts cannot be issued for a donation of services, as per Canada Revenue Agency guidelines.Please upload any documentation confirming the fair market value of the item you are donating (ie. receipt, invoice, company letter stating value, screenshot, etc.)(Required)Accepted file types: jpg, png, pdf, Max. file size: 100 MB.*Items with a value of $1,000 or more must include the original receipt (if purchased) AND a professional appraisal of value by a third party (that is, someone who is not associated with either the donor or Halton Women's Place).Do you require a representative from HWP (staff or volunteer) to come pick up your donation? Yes, I would like an HWP representative to come pick the item up from my home or place of business. No, I am able to drop off the item(s) I have donated to the Burlington shelter location. I have made arrangements already with an HWP Golf Committee Member, who will deliver the item on my behalf. I'm not sure and would like HWP to follow up with me to make arrangements. My item is a digital gift certificate and will be emailed to HWP. *Items for our Silent Auction must be delivered to HWP's Burlington location, or picked up by HWP staff/volunteers no later than June 1st. PLEASE NOTE you need to confirm a date and time for drop off with someone on the Development team BEFORE you arrive at the shelter. For PICK UP, if the item you are donating is valued at $500+, we kindly ask that you are present for the pick up to sign our donation pick up form. Gift certificates that need to be emailed should be sent to kmckenna@haltonwomensplace.com also by June 1st.Preferred Date in May 2025 for Pick Up OR Drop Off of Item(Required) MM slash DD slash YYYY *Items can ONLY be dropped off to the Burlington shelter on weekdays (Monday-Friday) during business hours (8:30am-4:30pm). PLEASE NOTE you need to confirm a date and time for drop off with someone on the Development team BEFORE you arrive at the shelter. When arriving at the shelter to drop off an auction item, please let the staff at reception know the name of Development staff you arranged with to meet you. A member of the HWP Development team MUST BE PRESENT for all drop offs and will require you to sign a form confirming the acceptance of your donation. Should you need to arrange a drop off outside of business hours, please email kmckenna@haltonwomensplace.com. As our silent auction will be online and includes up to 3 photos, please feel free to upload any promotional photos or logos you would like us to use on your silent auction listing.Accepted file types: jpg, png, pdf, Max. file size: 100 MB.Is there anything else you would like us to note about your donation?Email Subscription Yes! I want to stay updated on Halton Women's Place's mission, news, and events. You can opt-out at any time.
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