Fields marked * require an entry.

Thank you for your generous offer in support of the Breakthrough T1D Portland Hope Gala 2027.

We carefully review all submissions to ensure they align with Breakthrough T1D auction policies, and we’ll be in touch with you soon.

For questions please contact Lauren Howe at lhowe@BreakthroughT1D.org.

We are grateful for your generosity and your partnership in helping us accelerate T1D Breakthroughs!

Breakthrough T1D

Attn: Portland Hope Gala

720 SE 160^th Ave.

Suite 103, PMB #293

Vancouver, WA 98684

Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Restrictions:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

How should we receive your generous donation?*

Please create a certificate for this item

I will send a certificate for this item via email or mail

I will send the item

Please contact me to arrange pickup of this item

If you are completing this form on behalf of the donor, please enter your name (solicitor):

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

Mobile Phone:*

Email:*