| DONOR'S NAME FOR CATALOG
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DONOR CONTACT (IF DIFFERENT)
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| DONOR CONTACT TELEPHONE #
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DONOR'S ADDRESS
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ITEM BRIEF DESCRIPTION (check one) __TANGIBLE ITEM __ GIFT CERTIFICATE
EXPIRATION DATE, IF ANY: ______/ _______/ _______ |
|
| DONOR'S ESTIMATE OF RETAIL VALUE
|
|
| ITEM DESCRIPTION - SUGGESTED FOR CATALOG - INCLUDE QUANTITY, SIZE, COLOR, DURATION & RESTRICTIONS, IF ANY.
|
|
| DONOR SIGNATURE DATE_____/_____/_____ | |
| AUCTION REPRESENTATIVE NAME (PLEASE PRINT) | TELEPHONE #
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| PACKAGE SHIPPED TO:
| |
| PACKAGE SHIPPED VIA: | PACKAGE SHIPPING DATE:_____/_____/_____ |
| FOR OFFICE USE
|
CATALOG # |
| BIDDER #
|
BID AMOUNT |