Annual Gala Donation Form | Ordway Circle of Stars | ORDWAY

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2009 Gala Silent Auction Donation Form

Please complete the form below.

Mail certificates to:

Ordway Circle of Stars
Attn: Kate
345 Washington Street
St. Paul , MN 55102

Items Donated:
Value of Donations:
Company Name:
Contact Person :
Email:
Phone:
Fax:
Address:
City:
State:
Zip:
Name under which donor would like to be acknowledged in printed materials:

Please check one of the following:
	Donor will deliver item (Date items will be delivered: )
	Items need to be picked up (Date items will be available for pickup: )
	I give Ordway permission to take content from this donation form to create a gift certificate for the winning bidder
Restrictions/Limitations (if any):

If available, please provide material such as brochures, small posters, or buisness cards for display (subject to space availability) at the event. Promotional materials provided:


	I, , hereby acknowledge and agree to provide the stated goods and/or services to the Ordway Circle of Stars TM, a non-profit, tax exempt organization. Tax. ID: 41-1821212 Contributions are tax deductible to the extent provided by law.
BEFORE SUBMITTING THIS FORM, PLEASE PRINT FOR YOUR RECORDS. Thank you! All items are subject to approval by the Gala Auction Committee