The Dixons Carphone Gala Dinner & Charity Auction Thursday 26th March 2015, Quaglino’s, London Auction Item: Description: Donated By: (please note, this is how your donation will be recognized in all printed materials) Donation Restrictions: (please note any date, deadline, age etc., restrictions to the auction prize) Value: (The sale value of your donation will be used in a Gift Aid claim when applicable) Name of Main Donor Contact: Address: Phone: Email: Please provide contact information for the winning bidder to claim their auction lot: Contact Name: Contact Number: Contact Email: Any Additional Instructions: Please tick if you would not like information on this donation featured in any of our social media networks. I agree to donate the above listed item to be auctioned in benefit of Dixons Carphone Foundation at either their live auction or the silent auction running throughout the evening. Name: Signature: Date: Please return this completed agreement at your earliest convenience via:  Scan/Email to Alex Howells alex.howells@getconnected.org.uk Terms & Conditions: In the event that this donation is withdrawn post-Auction once the auction item has already been purchased in good faith, the donating organization is to provide an equivalent donation that is acceptable to the purchaser or reimburse them the amount bid should an equivalent donation not be agreed upon.