2024 Gala Form

2024 Gala – Website_FINAL (4269 x 1368 px) (4269 x 968 px)

Auction Donation Form old

Please confirm your contribution by completing this form and returning it to Addy Mkawasi at the address or email listed below. All auction items must be received by Tuesday, January 10, 2024. 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

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DONATION INFORMATION

Goods and Services Donated(Required)

Check One(Required)

Donation Enclosed

To be Delivered

To be Picked Up

Donation Secured By

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 10, 2024

Beit T’Shuvah ATTN: Addy Mkawasi 8831 Venice Boulevard, Los Angeles, California 90034 Direct: (310) 202-2288 | Fax: (310) 280-3691 Email: AMkawasi@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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Auction Donation Form old