Your Name *

Email *

Name of Organization

Organization Address

Brief Organization Purpose/ Mission Statement *

Brief Event Description

Is the Organization Non-Profit? If so, please provide Tax ID#

Event Date

Event Location

Approximately how many people will attend?

Event Type/ Donation Type *

Raffle
Silent Auction
Live Auction
Monetary Gift
Other

Has Cathy Eastham Fine Jewelry donated to this organization previously? *

Yes
No

If so, please describe what was donated (monetary donation, jewelry item, etc.) and provide a brief description of how the donation was received by attendees (sold above or below market value, raised money above your goal, etc.)

How will you promote this event? *

Will Cathy Eastham Fine Jewelry be acknowledged for donating, and if so, how?

For Live Auction donations, can the donated item and Cathy Eastham be acknowledged on the invitations and promo?

Are there any other jewelry stores donating at this time? If so, what are they donating? *

Contact Name *

Contact Email *

Contact Phone *

Are you a client of Cathy Eastham's? *

Yes
No

How did you hear about us? *

Web Search
Previous Event Donation
Community Member(s)
Commercial or Magazine Ad
Current or Previous Client
Other

Additional Information or Comments

Donation Request Guidelines and Application

Thank you for getting in touch!

Thank you for getting in touch!

14K White Gold Two Stone Ring With 1 Emerald Cut and 1 Pear Cut Diamond - Size 6