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In-Kind Donation Form

    Item Donation Information

    Have you provided an image (300dpi) of the auction item:

    Artwork Specifications: Please fill this portion out only if you are donating a piece of artwork.

    Please provide gallery, studio, private dealer or previous owner where artwork was purchased and available contact information.

    Method of delivery

    I'm not ready to commit just yet, but please follow up with me after the 1st of the year.

    Please carefully read the following and acknowledge below

    • Upon donation, this item becomes the property of Keep Memory Alive. Such donation may be sold at auction, in Keep Memory Alive’s sole discretion, at various events or platforms.

    • Keep Memory Alive will not provide you with the final selling price of your donated item.

    • Some donated items may be combined with other donated items to create a larger package.

    • Keep Memory Alive did not provide any goods or service in whole or part for the above donation.

    • If you intend to claim a tax deduction for a non-cash charitable contribution when the amount of the deduction is $500 or more, IRS Form 8283 may need to be completed. Contact your tax consultant for more information.

    • There are specific IRS rules for donations of artwork based on the value of the proposed gift. Please consult a tax professional about your proposed gift of artwork as additional IRS rules apply as the value of your proposed gift increases.

    • Keep Memory Alive has my permission to use the supplied image or logo online or in print to accompany the donation listing.

    All proceeds raised through this donation support patients of Cleveland Clinic Lou Ruvo Center for Brain Health and their families. Your generosity funds our social service programs, research trials and caregiver education for those families battling Alzheimer’s, Huntington’s, Parkinson’s, multiple sclerosis and multiple system atrophy. Thank you for your donation!

    Power of Love gala auction items are due March 8th, 2024. Forms received after this date are not guaranteed to appear in the printed program. Please keep a copy of this signed form for your records. Keep Memory Alive is a 501(c)(3) organization. Tax exempt ID number 88-0515534.