Please consider donating to our Auction. Contributions of jewelry, week long or weekend use of your vacation property, gift certificates, fine art, personal services, sports tickets or memorabilia will be deeply appreciated.

If you are interested in donating an item, please use the form below. If you would like to donate multiple items, please use a separate form for each item. Your information will be forwarded to the Auction Coordinator.  If you have any questions, please call (757) 952-1370 or email us.Promise of Hope 2012

Please enter your full name.
Please state the name of the company in which you work for.
Please provide us with your full street address.
City in which you currently reside.
What state do you currently live in?
Zip code for your current place of residence.
Provide us with a phone number by which we can reach you.
What is your email address?
Please verify the above email address.
Please select the type of donation you wish to make.
Please provide us with a description of your donated item(s).
What is the fair market value in US Dollars for your donated goods?
Please explain how you plan on delivering the donation.
Enter the name as you want it to appear in program and advertising materials. If you do not wish to be recognized, please enter "Friend" and your donation will be recognized as given by a Friend of the Patient Advocate Foundation.
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Enter the characters shown in the image.