Online Auction Donation Form

Beneficiary: Coquitlam Place des Arts Society (Charitable Registration No.: 11887 5756 RR0001)

Thank you for making a contribution to our online auction.

Contact Information

Donor/Organization Name *

(As it should appear on print and/or promotional material)

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Contact Person - First Name *

Contact Person - Last Name *

Position/Role

(If applicable)

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

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Email *

Phone

Auction Donation

To ensure inclusion in the auction's print promotion materials, all donation details must be received by September 20, 2024.

Description of Item *

(A complete and accurate description will help generate interest in your donation item on our auction website. Where applicable, please include the size, style and colour of your donation.)

Current Market Value *

Limitations and/or restrictions on donation

(If applicable)

Please select one of the following delivery methods: *

We will mail/courier the item(s) to Place des Arts
A company representative will deliver the items to Place des Arts
We will provide the necessary certificate via email
Please pick up the donation (We will contact you to schedule a pickup date and time)

If you selected "We will mail/courier the item(s) to Place des Arts", please mail it to the following address:

Attn. Vishakha Uppoor
Place des Arts
1120 Brunette Avenue
Coquitlam, BC
V3K 1G2

If you selected "Please pick up the donation", please provide pick-up instructions, if any:

Please attach your logo (preferably as an .ai or as a transparent .png file) and any available promotional images:

Please provide us with links to your website and social media, if any:

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Website

Twitter

Facebook

Instagram

If you have any questions, please reach out to us at donations@placedesarts.ca

Fundraising Activities

Contact Information

Auction Donation