In-Kind Donation Form

Fields marked * require an entry.

Each year, MOHAI's History Makers Gala raises critical funds to support the creation of engaging and interactive exhibits and programs at MOHAI, as well as increase community access to our K-12 education programs which serve almost 30,000 students, teachers, and families each year.

We welcome donations of all types for our silent auction, live auction, and raffle. If you an an individual or business interested in donating an item, certificate, or experience, please complete the information form. If you have any questions, please contact Christine Loredo, Donor Events Manager at christine.loredo@mohai.org

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

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