{"id":4662,"date":"2023-04-26T09:50:41","date_gmt":"2023-04-26T13:50:41","guid":{"rendered":"https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/?page_id=4662"},"modified":"2026-05-06T12:30:24","modified_gmt":"2026-05-06T16:30:24","slug":"auction-donation-form","status":"publish","type":"page","link":"https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/auction-donation-form\/","title":{"rendered":"Auction Donation Form"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column offset=&#8221;vc_hidden-lg vc_hidden-md vc_hidden-sm vc_hidden-xs&#8221;][vc_empty_space height=&#8221;20px&#8221; image_repeat=&#8221;no-repeat&#8221;][vc_column_text]<a href=\"\/giving\/toast-to-your-health\/\"><span style=\"color: #252525; font-size: 14px; font-weight: 600;\">Toast to Your Health Wine Auction<\/span><\/a>[\/vc_column_text][vc_empty_space height=&#8221;20px&#8221; image_repeat=&#8221;no-repeat&#8221;][\/vc_column][\/vc_row][vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; text_align=&#8221;left&#8221; background_image=&#8221;12682&#8243; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;grid&#8221; use_row_as_full_screen_section_slide=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image=&#8221;12722&#8243; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column_inner][vc_empty_space height=&#8221;50px&#8221; image_repeat=&#8221;no-repeat&#8221;][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"wp-image-12672 size-medium aligncenter\" src=\"https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/wp-content\/uploads\/2026\/05\/TTYHWA_2026_WebBanner_logo-300x297.png\" alt=\"toast to your health logo\" width=\"300\" height=\"297\" srcset=\"https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/wp-content\/uploads\/2026\/05\/TTYHWA_2026_WebBanner_logo-300x297.png 300w, https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/wp-content\/uploads\/2026\/05\/TTYHWA_2026_WebBanner_logo-1024x1014.png 1024w, https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/wp-content\/uploads\/2026\/05\/TTYHWA_2026_WebBanner_logo-150x150.png 150w, https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/wp-content\/uploads\/2026\/05\/TTYHWA_2026_WebBanner_logo-768x761.png 768w, https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/wp-content\/uploads\/2026\/05\/TTYHWA_2026_WebBanner_logo-1536x1522.png 1536w, https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/wp-content\/uploads\/2026\/05\/TTYHWA_2026_WebBanner_logo-2048x2029.png 2048w, https:\/\/www.rochester.edu\/giving\/toast-to-your-health\/wp-content\/uploads\/2026\/05\/TTYHWA_2026_WebBanner_logo-700x693.png 700w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/>[\/vc_column_text][vc_empty_space height=&#8221;50px&#8221; image_repeat=&#8221;no-repeat&#8221;][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; box_shadow_on_row=&#8221;no&#8221;][vc_column][vc_empty_space height=&#8221;75px&#8221; image_repeat=&#8221;no-repeat&#8221;][vc_column_text]<\/p>\n<h1 class=\"utopia\">Auction Donation Form for Non-Cash Gifts and Support<\/h1>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;25px&#8221; image_repeat=&#8221;no-repeat&#8221;]<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gravity-theme gform-theme--no-framework' data-form-theme='gravity-theme' data-form-index='0' id='gform_wrapper_32' ><form method='post' enctype='multipart\/form-data'  id='gform_32'  action='\/giving\/toast-to-your-health\/wp-json\/wp\/v2\/pages\/4662' data-formid='32' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_32' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_32_1\" class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><br\/><span style=\"color: #da0081;\">Please submit auction donations by Monday, August 31, 2026 to guarantee inclusion in the program catalog, mobile bidding, and website.<\/span>\n<br\/>\n<br\/><em>Thank you for your support! Please use this form to document gifts of assets, materials, or personal property to be used at fundraising events. This may include functional event items that are used or consumed at the event as well as items to be auctioned. Gifts-in-kind of equipment or supplies which are for the direct mission-related use of academic or medical departments at the University of Rochester should not use this form.<\/em><\/div><div id=\"field_32_3\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_3'><span class='gform-field-label__text'>Business\/Donor Name:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_32_3' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_3\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_32_3'>(as you would like it to appear in printed matierials)<\/div><\/div><fieldset id=\"field_32_4\" class=\"gfield gfield--type-address gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Address:<\/span><\/legend>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_32_4' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_32_4_1_container' >\n                                        <input type='text' name='input_4.1' id='input_32_4_1' value=''    aria-required='false'    \/>\n                                        <label for='input_32_4_1' id='input_32_4_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_32_4_2_container' >\n                                        <input type='text' name='input_4.2' id='input_32_4_2' value=''     aria-required='false'   \/>\n                                        <label for='input_32_4_2' id='input_32_4_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_32_4_3_container' >\n                                    <input type='text' name='input_4.3' id='input_32_4_3' value=''    aria-required='false'    \/>\n                                    <label for='input_32_4_3' id='input_32_4_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_32_4_4_container' >\n                                        <input type='text' name='input_4.4' id='input_32_4_4' value=''      aria-required='false'    \/>\n                                        <label for='input_32_4_4' id='input_32_4_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_32_4_5_container' >\n                                    <input type='text' name='input_4.5' id='input_32_4_5' value=''    aria-required='false'    \/>\n                                    <label for='input_32_4_5' id='input_32_4_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_32_4_6_container' >\n                                        <select name='input_4.6' id='input_32_4_6'   aria-required='false'    ><option value='' ><\/option><option value='AF' >Afghanistan<\/option><option value='AX' >\u00c5land Islands<\/option><option value='AL' >Albania<\/option><option value='DZ' >Algeria<\/option><option value='AS' >American Samoa<\/option><option value='AD' >Andorra<\/option><option value='AO' >Angola<\/option><option value='AI' >Anguilla<\/option><option value='AQ' >Antarctica<\/option><option value='AG' >Antigua and Barbuda<\/option><option value='AR' >Argentina<\/option><option value='AM' >Armenia<\/option><option value='AW' >Aruba<\/option><option value='AU' >Australia<\/option><option value='AT' >Austria<\/option><option value='AZ' >Azerbaijan<\/option><option value='BS' >Bahamas<\/option><option value='BH' >Bahrain<\/option><option value='BD' >Bangladesh<\/option><option value='BB' >Barbados<\/option><option value='BY' >Belarus<\/option><option value='BE' >Belgium<\/option><option value='BZ' >Belize<\/option><option value='BJ' >Benin<\/option><option value='BM' >Bermuda<\/option><option value='BT' >Bhutan<\/option><option value='BO' >Bolivia<\/option><option value='BQ' >Bonaire, Sint Eustatius and Saba<\/option><option value='BA' >Bosnia and Herzegovina<\/option><option value='BW' >Botswana<\/option><option value='BV' >Bouvet Island<\/option><option value='BR' >Brazil<\/option><option value='IO' >British Indian Ocean Territory<\/option><option value='BN' >Brunei Darussalam<\/option><option value='BG' >Bulgaria<\/option><option value='BF' >Burkina Faso<\/option><option value='BI' >Burundi<\/option><option value='CV' >Cabo Verde<\/option><option value='KH' >Cambodia<\/option><option value='CM' >Cameroon<\/option><option value='CA' >Canada<\/option><option value='KY' >Cayman Islands<\/option><option value='CF' >Central African Republic<\/option><option value='TD' >Chad<\/option><option value='CL' >Chile<\/option><option value='CN' >China<\/option><option value='CX' >Christmas Island<\/option><option value='CC' >Cocos Islands<\/option><option value='CO' >Colombia<\/option><option value='KM' >Comoros<\/option><option value='CG' >Congo<\/option><option value='CD' >Congo, Democratic Republic of the<\/option><option value='CK' >Cook Islands<\/option><option value='CR' >Costa Rica<\/option><option value='CI' >C\u00f4te d&#039;Ivoire<\/option><option value='HR' >Croatia<\/option><option value='CU' >Cuba<\/option><option value='CW' >Cura\u00e7ao<\/option><option value='CY' >Cyprus<\/option><option value='CZ' >Czechia<\/option><option value='DK' >Denmark<\/option><option value='DJ' >Djibouti<\/option><option value='DM' >Dominica<\/option><option value='DO' >Dominican Republic<\/option><option value='EC' >Ecuador<\/option><option value='EG' >Egypt<\/option><option value='SV' >El Salvador<\/option><option value='GQ' >Equatorial Guinea<\/option><option value='ER' >Eritrea<\/option><option value='EE' >Estonia<\/option><option value='SZ' >Eswatini<\/option><option value='ET' >Ethiopia<\/option><option value='FK' >Falkland Islands<\/option><option value='FO' >Faroe Islands<\/option><option value='FJ' >Fiji<\/option><option value='FI' >Finland<\/option><option value='FR' >France<\/option><option value='GF' >French Guiana<\/option><option value='PF' >French Polynesia<\/option><option value='TF' >French Southern Territories<\/option><option value='GA' >Gabon<\/option><option value='GM' >Gambia<\/option><option value='GE' >Georgia<\/option><option value='DE' >Germany<\/option><option value='GH' >Ghana<\/option><option value='GI' >Gibraltar<\/option><option value='GR' >Greece<\/option><option value='GL' >Greenland<\/option><option value='GD' >Grenada<\/option><option value='GP' >Guadeloupe<\/option><option value='GU' >Guam<\/option><option value='GT' >Guatemala<\/option><option value='GG' >Guernsey<\/option><option value='GN' >Guinea<\/option><option value='GW' >Guinea-Bissau<\/option><option value='GY' >Guyana<\/option><option value='HT' >Haiti<\/option><option value='HM' >Heard Island and McDonald Islands<\/option><option value='VA' >Holy See<\/option><option value='HN' >Honduras<\/option><option value='HK' >Hong Kong<\/option><option value='HU' >Hungary<\/option><option value='IS' >Iceland<\/option><option value='IN' >India<\/option><option value='ID' >Indonesia<\/option><option value='IR' >Iran<\/option><option value='IQ' >Iraq<\/option><option value='IE' >Ireland<\/option><option value='IM' >Isle of Man<\/option><option value='IL' >Israel<\/option><option value='IT' >Italy<\/option><option value='JM' >Jamaica<\/option><option value='JP' >Japan<\/option><option value='JE' >Jersey<\/option><option value='JO' >Jordan<\/option><option value='KZ' >Kazakhstan<\/option><option value='KE' >Kenya<\/option><option value='KI' >Kiribati<\/option><option value='KP' >Korea, Democratic People&#039;s Republic of<\/option><option value='KR' >Korea, Republic of<\/option><option value='KW' >Kuwait<\/option><option value='KG' >Kyrgyzstan<\/option><option value='LA' >Lao People&#039;s Democratic Republic<\/option><option value='LV' >Latvia<\/option><option value='LB' >Lebanon<\/option><option value='LS' >Lesotho<\/option><option value='LR' >Liberia<\/option><option value='LY' >Libya<\/option><option value='LI' >Liechtenstein<\/option><option value='LT' >Lithuania<\/option><option value='LU' >Luxembourg<\/option><option value='MO' >Macao<\/option><option value='MG' >Madagascar<\/option><option value='MW' >Malawi<\/option><option value='MY' >Malaysia<\/option><option value='MV' >Maldives<\/option><option value='ML' >Mali<\/option><option value='MT' >Malta<\/option><option value='MH' >Marshall Islands<\/option><option value='MQ' >Martinique<\/option><option value='MR' >Mauritania<\/option><option value='MU' >Mauritius<\/option><option value='YT' >Mayotte<\/option><option value='MX' >Mexico<\/option><option value='FM' >Micronesia<\/option><option value='MD' >Moldova<\/option><option value='MC' >Monaco<\/option><option value='MN' >Mongolia<\/option><option value='ME' >Montenegro<\/option><option value='MS' >Montserrat<\/option><option value='MA' >Morocco<\/option><option value='MZ' >Mozambique<\/option><option value='MM' >Myanmar<\/option><option value='NA' >Namibia<\/option><option value='NR' >Nauru<\/option><option value='NP' >Nepal<\/option><option value='NL' >Netherlands<\/option><option value='NC' >New Caledonia<\/option><option value='NZ' >New Zealand<\/option><option value='NI' >Nicaragua<\/option><option value='NE' >Niger<\/option><option value='NG' >Nigeria<\/option><option value='NU' >Niue<\/option><option value='NF' >Norfolk Island<\/option><option value='MK' >North Macedonia<\/option><option value='MP' >Northern Mariana Islands<\/option><option value='NO' >Norway<\/option><option value='OM' >Oman<\/option><option value='PK' >Pakistan<\/option><option value='PW' >Palau<\/option><option value='PS' >Palestine, State of<\/option><option value='PA' >Panama<\/option><option value='PG' >Papua New Guinea<\/option><option value='PY' >Paraguay<\/option><option value='PE' >Peru<\/option><option value='PH' >Philippines<\/option><option value='PN' >Pitcairn<\/option><option value='PL' >Poland<\/option><option value='PT' >Portugal<\/option><option value='PR' >Puerto Rico<\/option><option value='QA' >Qatar<\/option><option value='RE' >R\u00e9union<\/option><option value='RO' >Romania<\/option><option value='RU' >Russian Federation<\/option><option value='RW' >Rwanda<\/option><option value='BL' >Saint Barth\u00e9lemy<\/option><option value='SH' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='KN' >Saint Kitts and Nevis<\/option><option value='LC' >Saint Lucia<\/option><option value='MF' >Saint Martin<\/option><option value='PM' >Saint Pierre and Miquelon<\/option><option value='VC' >Saint Vincent and the Grenadines<\/option><option value='WS' >Samoa<\/option><option value='SM' >San Marino<\/option><option value='ST' >Sao Tome and Principe<\/option><option value='SA' >Saudi Arabia<\/option><option value='SN' >Senegal<\/option><option value='RS' >Serbia<\/option><option value='SC' >Seychelles<\/option><option value='SL' >Sierra Leone<\/option><option value='SG' >Singapore<\/option><option value='SX' >Sint Maarten<\/option><option value='SK' >Slovakia<\/option><option value='SI' >Slovenia<\/option><option value='SB' >Solomon Islands<\/option><option value='SO' >Somalia<\/option><option value='ZA' >South Africa<\/option><option value='GS' >South Georgia and the South Sandwich Islands<\/option><option value='SS' >South Sudan<\/option><option value='ES' >Spain<\/option><option value='LK' >Sri Lanka<\/option><option value='SD' >Sudan<\/option><option value='SR' >Suriname<\/option><option value='SJ' >Svalbard and Jan Mayen<\/option><option value='SE' >Sweden<\/option><option value='CH' >Switzerland<\/option><option value='SY' >Syria Arab Republic<\/option><option value='TW' >Taiwan<\/option><option value='TJ' >Tajikistan<\/option><option value='TZ' >Tanzania, the United Republic of<\/option><option value='TH' >Thailand<\/option><option value='TL' >Timor-Leste<\/option><option value='TG' >Togo<\/option><option value='TK' >Tokelau<\/option><option value='TO' >Tonga<\/option><option value='TT' >Trinidad and Tobago<\/option><option value='TN' >Tunisia<\/option><option value='TR' >T\u00fcrkiye<\/option><option value='TM' >Turkmenistan<\/option><option value='TC' >Turks and Caicos Islands<\/option><option value='TV' >Tuvalu<\/option><option value='UG' >Uganda<\/option><option value='UA' >Ukraine<\/option><option value='AE' >United Arab Emirates<\/option><option value='GB' >United Kingdom<\/option><option value='US' >United States<\/option><option value='UY' >Uruguay<\/option><option value='UM' >US Minor Outlying Islands<\/option><option value='UZ' >Uzbekistan<\/option><option value='VU' >Vanuatu<\/option><option value='VE' >Venezuela<\/option><option value='VN' >Viet Nam<\/option><option value='VG' >Virgin Islands, British<\/option><option value='VI' >Virgin Islands, U.S.<\/option><option value='WF' >Wallis and Futuna<\/option><option value='EH' >Western Sahara<\/option><option value='YE' >Yemen<\/option><option value='ZM' >Zambia<\/option><option value='ZW' >Zimbabwe<\/option><\/select>\n                                        <label for='input_32_4_6' id='input_32_4_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/fieldset><div id=\"field_32_5\" class=\"gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_5'><span class='gform-field-label__text'>Email Address:<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_32_5' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_32_6\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_6'><span class='gform-field-label__text'>Phone (day):<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_6' id='input_32_6' type='tel' value='' class='large'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_32_7\" class=\"gfield gfield--type-phone gfield--phone-format-standard gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_7'><span class='gform-field-label__text'>Phone (evening):<\/span><\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_32_7' type='tel' value='' class='large'  placeholder='(999) 999-9999'  aria-invalid=\"false\"   data-mask=\"(999) 999-9999\" \/><\/div><\/div><div id=\"field_32_8\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_8'><span class='gform-field-label__text'>Contact Person:<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_8' id='input_32_8' type='text' value='' class='large'      aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_32_9\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_9'><span class='gform-field-label__text'>Tangible Items:<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_9' id='input_32_9' class='large gfield_select'     aria-invalid=\"false\" ><option value='Bottles of Wine' >Bottles of Wine<\/option><option value='Food and\/or Beverage' >Food and\/or Beverage<\/option><option value='Jewelry' >Jewelry<\/option><option value='Art' >Art<\/option><option value='Gift Certificate(s) with cash value (such as prepaid store cards or debit cards)' >Gift Certificate(s) with cash value (such as prepaid store cards or debit cards)<\/option><option value='Other Tangible Item(s)' >Other Tangible Item(s)<\/option><option value='None' >None<\/option><\/select><\/div><\/div><div id=\"field_32_10\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_10'><span class='gform-field-label__text'>Intangible Items:<\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_10' id='input_32_10' class='large gfield_select'     aria-invalid=\"false\" ><option value='Accommodations' >Accommodations<\/option><option value='Airfaire' >Airfaire<\/option><option value='Entertainment' >Entertainment<\/option><option value='Gift Certificate(s) from business or proprietor (offer of discounted goods or services)' >Gift Certificate(s) from business or proprietor (offer of discounted goods or services)<\/option><option value='Use of Facilities' >Use of Facilities<\/option><option value='Other Services' >Other Services<\/option><option value='Other Intangible Item(s)' >Other Intangible Item(s)<\/option><option value='None' >None<\/option><\/select><\/div><\/div><div id=\"field_32_11\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_11'><span class='gform-field-label__text'>Description of Item(s):<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_32_11' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><fieldset id=\"field_32_12\" class=\"gfield gfield--type-radio gfield--type-choice field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>The Donated Item(s):<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_12'>\n\t\t\t<div class='gchoice gchoice_32_12_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Exchangeable'  id='choice_32_12_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_12_0' id='label_32_12_0' class='gform-field-label gform-field-label--type-inline'>Exchangeable<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_12_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_12' type='radio' value='Non-exchangeable'  id='choice_32_12_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_12_1' id='label_32_12_1' class='gform-field-label gform-field-label--type-inline'>Non-exchangeable<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_32_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>The Item(s) is(are):<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_32_13'>\n\t\t\t<div class='gchoice gchoice_32_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='To be used or consumed at the event'  id='choice_32_13_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_13_0' id='label_32_13_0' class='gform-field-label gform-field-label--type-inline'>To be used or consumed at the event<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_32_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='To be auctioned off at the event'  id='choice_32_13_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_32_13_1' id='label_32_13_1' class='gform-field-label gform-field-label--type-inline'>To be auctioned off at the event<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_32_14\" class=\"gfield gfield--type-text gfield--width-full field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_14'><span class='gform-field-label__text'>Donor&#039;s Estimated Value* of Item(s):<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_32_14' type='text' value='' class='large'  aria-describedby=\"gfield_description_32_14\"    aria-invalid=\"false\"   \/><\/div><div class='gfield_description' id='gfield_description_32_14'>*For information on how this donation will impact your income tax return, please consult your tax advisor. The University of Rochester will issue a formal tax receipt for any gift that meets IRS guidelines for tax deductibility. Your tax receipt will not display a dollar amount or value but only a description of the item(s) donated. It is the donor\u2019s responsibility to substantiate the value of non-cash gifts to the IRS. We can only issue tax receipts for tangible items such as food, art, books, coins, jewelry, and bottles of wine. We cannot issue tax receipts for intangible items such as services, labor, entertainment, accommodations, partial Interest, or use of facilities. The value cited above should not be \u201cpriceless\u201d and values of $5,000 or greater may require a third-party appraisal.<\/div><\/div><div id=\"field_32_15\" class=\"gfield gfield--type-textarea gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_32_15'><span class='gform-field-label__text'>Special Instructions or Comments:<\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_15' id='input_32_15' class='textarea small'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_32_16\" class=\"gfield gfield--type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><em>For questions please contact the URMC Events Team at <a style=\"color: #004640;\" href=\"mailto:urmcevents@rochester.edu\">urmcevents@rochester.edu<\/a>.<\/em><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_32' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Submit<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_32' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_32' id='gform_theme_32' value='gravity-theme' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_32' id='gform_style_settings_32' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_32' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='32' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='USD' value='X+HePG183FfOe1loetDeh1XKc\/\/3ULQATG8M1Lj+FVV9baeExi1PoUjda3SNfwZF3Z46qqqfNPLfO1k5cYmxW7CKKbajbHGbYMr7mbk9eQ6CzZk=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_32' value='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' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_target_page_number_32' id='gform_target_page_number_32' value='0' \/>\n            <input type='hidden' autocomplete='off' class='gform_hidden' name='gform_source_page_number_32' id='gform_source_page_number_32' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"ak_\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"20\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><\/form>\n                        <\/div>[\/vc_column][\/vc_row][vc_row row_type=&#8221;row&#8221; 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