Item Donation

Fields marked * require an entry.

Thank you for your interest in donating an auction item to the Bailey House Gala & Auction, held on March 9th, 2017 at Chelsea Piers! Please fill out the form below with the details of your donation. Please note, there should be one donation form per auction item donated.

IMPORTANT: Once you have submitted this form, please email a web-appropriate image of the item to BHevents@baileyhouse.org.

All online donation forms must be submitted by February 24, 2017. We are unable to provide pick-up for the majority of donations. Should you have any questions about your donation or delivery arrangements, please contact BHevents@baileyhouse.org or call (212) 633-2500 x 458.

Unfortunately, we are unable to include donations that we receive after March 3rd.

Form deadline: February 24, 2017
Auction item delivery deadline: March 3, 2017

Thanks for supporting Bailey House!

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions:

I am a(n):*

Individual Donor
Business Donor

I would like to remain anonymous:*

YesNo

Auction Committee member who solicited item (if unknown, please type UNKNOWN):*

Website (Optional):

Facebook Page (Optional):

Twitter Handle (Optional):

Instagram Handle (Optional):

Image Submission

I have emailed a high resolution JPEG (1200 x 1200 pixels or larger) to bhevents@baileyhouse.org:*

YesNo

Art Information

If your donation is artwork, provide dimensions, artistic medium and a brief artist bio:

Gift Certificates

If your donation is an experience, event, or other gift certificate item, are you sending Bailey House a physical certificate, or should we create one for the winning bidder in-house:

Additional Information

How did you hear about Bailey House?

Please indicate any special notes or delivery details for Bailey House staff here:

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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