Chocolate Ball Holiday Offer
38th Annual Chocolate Ball
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●
38th Annual Chocolate Ball
●
2024 Silent Auction
●
2024 Silent Auction Form
2024 Annual Chocolate Ball Silent Auction Donation Form
Name
(Required)
First
Last
Have you previously donated a good/service to the Annual Chocolate Ball?
(Required)
Yes
No
Business Name
(Required)
Business Website
(Required)
Phone
(Required)
Email
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Description of good/service to be donated.
(Required)
Please list any special terms, conditions, dates or restrictions .
Dollar value of good/service to be donated.
(Required)
Do you have or plan on submitting a written appraisal for this donation?
Yes
No
How should we collect material from you?
(Required)
We will attach it at the end of this form.
We will email it to Jill Johnson at jejohnson@epiny.org
We will mail it to EPI, 1650 South Ave., Rochester, NY 14620
We will drop off at EPI, 1650 South Ave., Rochester, NY 14620
EPI should pick up at our location.
None of these and I will explain below.
Please list any special instructions for pick up and/or receipt of your donated items.
Please upload your logo and any applicable documentation (gift certificate, letter, etc.).
Max. file size: 256 MB.
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Get Involved
About
▼
Leadership
About Us & History
Board of Directors
Associate Board of Directors
News
Publications
Our Stories
Contact Us
Diversity, Equity, Inclusion
Compliance
Epilepsy
▼
Overview
FAQs
Camp EAGR
Camp COAST
Teen Weekend
Epilepsy Education
Webinar Links
Support Groups
Scholarship
Sudden Unexpected Death in Epilepsy (SUDEP)
Resources
1 in 26 Day
Services
▼
Developmental Disabilities
▼
Overview
Self-Direction
Respite
Family Support Services
Residential
Community Habilitation
Day Habilitation
Housing Supports
Environmental Modification/Assistive Technology
Families and Children
Brain Injury and Stroke
▼
Overview
Independent Living Skills
Structured Day/Structured Evening
Environmental Modification/Assistive Technology
Community Integration Counseling
Nursing Home Transitionion & Diversion Waiver (DOH)
Get Involved
▼
Give
Fundraising Events
Volunteer
Advocacy
Calendar
Careers
▼
Overview
EPI Job Openings
Recruiting Events
Diversity, Equity, Inclusion
Self-Direction Job Openings
Donate
Chocolate Ball Holiday Offer
38th Annual Chocolate Ball
Contact Us
News
Board Login
Calendar
