In-Kind Donation Form

Donor Name (Company or Individual) *

Email *

Contact Person (to address donation acknowledgment - if not the same) *

Phone *

Address *

Item Donation Information

Name of Item/Package *

Please supply a high-resolution image of the item (or logo of the company) *

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Retail Value ($) *

Per IRS standards - A retail value of any hard costs associated with a package must be listed, even if part of the package is priceless (like a meet & greet or celebrity experience). If the value exceeds $5,000 a receipt/PO/invoice must be included.

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Description: Include quantity and any exciting details and description notes for the item.

Donation Restrictions: State any limitations, special restrictions, and experation date.

Contact for Redemption

Phone/Email

Have you provided an image (300dpi) of the auction item:

Yes

If your donation is a collectable or piece of memorabilia, it must be accompanied by a certificate of authenticity or appraisal.

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Artwork Specifications: Please fill this portion out only if you are donating a piece of artwork.

Name of Artist

Title of Work

Medium

Dimensions: In Inches

Current Estimated Value ($)

A certificate of authenticity and/or an appraisal must accompany the donated work.

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Please provide gallery, studio, private dealer or previous owner where artwork was purchased and available contact information.

Name

Address

Phone

Method of Delivery *

I will mail the item/original certificate (Opportunity Village - ATTN: Melissa Adams, 6300 W. Oakey Blvd., Las Vegas, NV 89146)

Opportunity Village has my permission to create a certificate please pick up my item (AVAILABLE FOR LAS VEGAS ONLY - WE WILL FOLLOW UP TO COORDINATE PICK UP)

Certificate to be emailed for Opportunity Village to print out

Please carefully read the following and acknowledge below:

Upon donation, this item becomes the property of Opportunity Village. Such donation may be sold at auction, in Opportunity Village’s sole discretion, at various events or platforms.
Opportunity Village will not provide you with the final selling price of your donated item.
Some donated items may be combined with other donated items to create a larger package.
Opportunity Village did not provide any goods or service in whole or part for the above donation.
If you intend to claim a tax deduction for a non-cash charitable contribution when the amount of the deduction is $500 or more, IRS Form 8283 may need to be completed. Contact your tax consultant for more information.
There are specific IRS rules for donations of artwork based on the value of the proposed gift. Please consult a tax professional about your proposed gift of artwork as additional IRS rules apply as the value of your proposed gift increases.
Opportunity Village has my permission to use the supplied image or logo online or in print to accompany the donation listing.

All proceeds raised through this donation support Opportunity Village’s mission and programs. Your generosity helps Opportunity Village empower, employ, and serve people with disabilities. Thank you for your donation!

Camelot auction items are due October 11, 2024. Forms received after this date are not guaranteed to appear in the printed program. Please keep a copy of this signed form for your records. Opportunity Village is a 501(c)(3) organization. Tax exempt ID number 88-6003567.