EmailMe Form - Village Theatre Auction Item Donation Form

Donor or Company Name *

Donor Email *

Donor Phone *

### - ### - ####

Contact Name

First Last

Please provide if different than above.

Contact Email

Please provide if different than above.

Donor Address

Street Address City State / Province / Region Postal / Zip Code

Donation Information *

Please provide detailed item description (i.e., quantity, size, color, number of people, valid dates, etc.)

Restrictions *

Please provide detailed restriction information such as expiration date, blackout dates, tax and gratuity information, etc. If there are no restrictions, please notate with N/A.

Item Value *

$ Dollars . Cents

Fair Market Value

Type of Item *

Physical Item

Certificate

Both

Physical Item *

Item will be mailed to Village Theatre

Item will be dropped off at Village Theatre by donor

Please pick up my donation

Not Applicable

Certificate or Service Item *

Certificate will be mailed to Village Theatre

Certificate will be emailed

Certificate will accompany physical item

Not Applicable

Upload a photo of your item or a file with additional details

Please mail items to:

Village Theatre
c/o Dani Franich
303 Front St N
Issaquah, WA 98027

Procurement or Gala Questions

Contact: Dani Franich, Director of Development
Phone: 452-392-1942 x116
Email: dfranich@villagetheatre.org

Village Theatre Tax ID#: 91-1077130

Please retain a copy of this form for your tax records.