2013 Item Donation Form

Fields marked * require an entry.

SFC 2013 Auction Item Donation

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

EXPIRATION DATE

Check One:*

None

4/20/2014 (1 year from auction)

End of Calendar Year 2013

Other

Another Expiration Date:

GIFT CERTIFICATE

Attached:

Yes

Please Make Gift Certificate:

Yes

DELIVERY INFORMATION

Item to be Delivered by Donor to SFC:

Yes

No

Approximate Date of Delivery:

Item to be Picked Up by Auction Committee Member:

Yes

No

Date Available for Pick-Up:

Promotional Materials:

Yes

No

Tangible Display:

Yes

No

Pictures:

Yes

No

Please e-mail pictures to sfcsilentauction@gmail.com by March 15th. :

DONOR INFORMATION

Donor Name & Title:

Company Name:

Donor Web Site:

Today's Date mm/dd/yyyy :

Who is the SFC representative who contacted you regarding this donation?*

ITEM DONATION NOTE: ENTER $$ AMT ie: 4000 for a $4,000.00 donation

Comments & Other Instructions:

ADDITONAL CONTACT INFORMATION:

Address, City, State & Zip Code:*

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*