Thank you for your generous support of Chabad of Tribeca Jewish Center's 2020 Benefit Auction. We are so grateful to you for your support! Mailing address: Chabad of Tribeca Jewish Center Attn: Auction Committee 291 Broadway, Floor 3 New York, NY 10007 Questions: [email protected] or 212.566.6764 Ext. 0 1. Your Information Company Name* First Name Last Name Contact Person* First Name Last Name Address* Street Address Street Address Line 2 City State / Province Postal / Zip Code Please Select United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan The Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile People's Republic of China Republic of China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Polynesia Gabon The Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati North Korea South Korea Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia Somaliland South Africa South Ossetia Spain Sri Lanka Sudan Suriname Svalbard Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam British Virgin Islands US Virgin Islands Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other Country E-mail* Phone Number* Area Code Phone Number 2. Donation Details Solicitor's Name* First Name Last Name Item Description* Special Instructions for Redemption (i.e. black out dates): Expiration Date (if applicable): Please be as specific as possible. Include dimensions, blackout dates for travel, etc. (if applicable). All auction certificates do not expire unless otherwise noted. Chabad of Tribeca has the right to use this item(s) at future fundraising events. Please email any pictures or additional materials to [email protected] . About the Donor Please use this section to describe your business Certificates are necessary for service-oriented items Certificate will be emailed Certificate will be mailed Chabad of Tribeca should create the certificate Physical Item Delivery I will deliver to Chabad of Tribeca JC I will mail to Chabad of Tribeca JC If you are donating a physical item, and plan to deliver it, rather than mail it, please be sure to arrange for delivery by emailing [email protected] . Thank you. Your estimated value of the item:* $ Agreement Completed by:* Date: Month Day Year Any Comments / Special Requirements Submit Should be Empty: This page uses TLS encryption to keep your data secure.