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Fields marked * require an entry.

Please indicate in the Notes section if the item will be sent to the school or if pick up is necessary. HSAS can create a gift certificate for you item if needed. Additionally, please indicate any restrictions or expiration dates. Contact hsaspta.auction@gmail.com with any questions. Thank you for your support!

DONATE AN ITEM ONLINE

Item Information

Item Name:*

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Estimated Value $:*

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Please enter a valid decimal number as nnn.nn

Item Description:*

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Notes:

I am a(n):*

Individual Donor

Business Donor

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I would like to remain anonymous:*

Yes

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Please list any restrictions or expiration dates:*

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Donation Information:*

Donation gift certificate will be emailed to hsaspta.auction@gmail.com

Donation will be sent to HSAS at 2925 Goulden Ave., Bronx, NY 10468

I would like HSAS to create a gift certificate from info on this form

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Donation may be sold in online auction:*

Yes

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Donor Information

Business Name:

HSAS can link to my business website. My URL is:

HSAS can use my logo in promotional materials. I will send our logo and/or a picture of the item to hsaspta.auction@gmail.com:

Yes

HSAS Family Information

I am an HSAS parent/guardian:*

Yes

*Please enter a value

Student name:

Grade:

Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

Please enter a value for Mobile Phone: Please enter a valid phone number. Use x to denote extension

Home Phone:

Please enter a value for Home Phone: Please enter a valid phone number. Use x to denote extension

Work Phone:

Please enter a value for Work Phone: Please enter a valid phone number. Use x to denote extension

Email:*

Please enter a value for Email: Please enter a single valid Email.

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DONATE AN ITEM ONLINE

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