Silent Auction Donation Form in partnership with the Castlegar Arts Council Artist Donation Agreement/Sponsorship Contact Information Business Name Name * First Last Name * Last Email * Phone Mailing Address Mailing Address Mailing Address Mailing Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Website/URL Instagram Facebook Tell us about you and your business! Please provide us a short bio or artist statement for us to include with your donation. Bidders would like to know about you and the inspiration behind your donation. Donation 1. Description of Donation Value 2. Description of Donation Value Please select from one of the following options: I am donating my work and require a charitable tax receipt. I would like $100 sponsorship for my donation and a charitable tax receipt for the remaining amount. I would like $150 sponsorship for my donation and a charitable tax receipt for the remaining amount. I would like $200 sponsorship for my donation and a charitable tax receipt for the remaining amount. I would like to receive sponsorship in the custom amount ofI would like to receive sponsorship in the custom amount of **NOTE: Sponsorship payments are contingent on community sponsorship Will you require pick up or will you drop off your donation? * Pick up Drop off Drop off at reception, upstairs in our main building located at 767 11th Avenue, Castlegar between the hours of 7:30am-3pm Please upload any promotional items that you would like us to include with the display of your donation. Drop a file here or click to upload Choose File Maximum file size: 33.55MB Terms and Conditions Ownership and rights: I assert that I am the sole owner and creator of the donated artwork(s) and hold all rights, including but not limited to copyright, reproduction, and distribution rights. Purpose of donation: I agree that the donated artwork(s) will be used by the Kootenay Family Place for fundraising or promotional purposes in alignment with the mission and goals of the organization. Media Release: I hereby grant Kootenay Family Place the right to use images of the donated artwork(s) for promotional and publicity purposes, including but not limited to, press releases, social media, newsletters, and website content. Kootenay Family Place agrees to credit the me whenever and wherever feasible when using such images. Delivery and display: I will deliver the donated artwork(s) to Kootenay Family Place or a member of Kootenay Family Place will pick up the donated artwork(s) prior to November 14, 2025. Kootenay Family Place agrees to prominently display the artwork(s) in a secure and appropriate manner, ensuring their safety and visibility to the public. Acknowledgement: Kootenay Family Place agrees to provide me with a written acknowledgment of the donation for tax purposes upon request. I understand that I may not be granted the dollar amount of sponsorship I am requesting and that sponsorship payments are contingent on community sponsorship. In the event that this happens, I am not obligated to proceed with my donation. Non-monetary consideration: Both parties acknowledge that this donation is made without monetary compensation and is solely for the purpose of supporting Kootenay Family Place’s mission. Governing law: This agreement shall be governed by and construed in accordance with the laws of British Columbia, without regard to it’s conflict of law principles. * I agree to the Terms and Conditions. * Thank you for your donation! We will be in contact with you to arrange for pick up or drop off of your donation. If you are human, leave this field blank. Submit Δ