2025 Gala Form

2023 Gala – Auction Donation Form Header (1)

Gala Auction Donation Form 2025

Please confirm your contribution by completing this form and returning it to Simon Hanna at the address or email listed below. All auction items must be received by Tuesday, January 7,2025. Thank you very much for your support!

Name of Individual/Corporate Donor(Required)

Name of Individual/Corporate Donor

Name(Required)

Contact Person

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Enter Email Confirm Email

Website

Hidden

DONATION INFORMATION

Goods and Services Donated(Required)

Check One(Required)

To be Delivered

To be Picked Up

Needs Gift Card Made

Donation Secured By(Required)

Restrictions and/or Limitations(Required)

Value Estimated by Donor(Required)

Please submit a photo or logo that best represents your donation to help us list the item online or in person.

Max. file size: 50 MB.

PLEASE RETURN FORM BY JANUARY 7, 2025

Beit T’Shuvah ATTN: Simon Hanna 8831 Venice Boulevard, Los Angeles, California 90034 Direct: (310) 204-5200 x230 | Fax: (310) 280-3691 Email: shanna@beittshuvah.org

Tax ID # 77-0152646

For more information on our Gala, please visit www.beittshuvah.org/gala Beit T’Shuvah’s mission is to heal broken souls and save the lives of those wrestling with addiction by providing integrated care in a community setting. We believe everyone has the right to redemption, which is why we never turn a single soul away due to their inability to pay.

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