Silent Auction

DONATION FORM

Thank you for your donation to the Masquerade Ball. Please complete and submit the form below to submit your donation via our website. You may also print and complete this form and send it to victor@pridelines.org or PO Box 014340 Miami, FL 33101.

Please ship all items to: Pridelines, 6360 N.E. 4th Court, Miami, Florida 33138

If you need assistance, please contact us at (305) 571-9601.

Pridelines is a registered 501c3 tax exempt organization in the state of Florida. All donations are deductible to the extent of the law.

Please complete the form below

Name *
Name
Phone Number
Phone Number
Address
Address
$
Exp. Date
Exp. Date
Date item may be picked up
Date item may be picked up