Fields marked * require an entry.

Thank you for your interest in donating to our auction!

Prior to submission, please review our
Auction Guidelines
for donations that cannot be accepted by the American Heart Association.

Horizontal Red Line

AuctionItemDonationForm

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Work Phone:

Email:*

Collin County Heart Ball

Friday, November 14, 2025

The Heart Congress
1:00 PM - 4:00 PM CT

Heart Ball
6:00 PM - 10:00 PM CT

Cosm Dallas
5776 Grandscape Blvd
The Colony, TX 75056