DONATION FORM

Rotary Club of Maryville

Gala and Auction

Friday, February 9, 2018

Capitol Theater, 6:00 PM

 

   ITEM SOLICITED BY ROTARIAN:                          

__________________________________

 

DESCRIPTION OF ITEM (type or print - give complete details or attach a separate page.   If the item is a dinner, cabin stay, boat ride, cookout, or the like, please give number of people and dates available):

 

 ____________________________________________________________________________________

 

______________________________________________________________________________________

______________________________________________________________________________________

 

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Use back of this form if necessary.

Please use a separate form for each unique donation or set of donations.

 

Value:  _______________________________________________

 

Minimum Bid, if required: _______________________________

 

Name of Donor and Company, if applicable: ____________________________________

 

Address: ________________________________________________________________

                                                                                     

              ________________________________________________________________

               City                                                            State                            Zip Code

 

Phone: __________________________                     Fax: ___________________________

 

E-mail:________________________________________________________________________

 

 Donor Authorization:

 

Signature:__________________________________________Date:________________

 

Our Foundation is 501.C3.  Tax Id #26-2766277

 

Note: This form must be received by January 20 to guarantee your full promotional benefits. All items must be received by February 5 to be included in the auction.  Questions contact Suzie Cutshaw.

                        E-mail: suzcutshaw@gmail.com    Phone:  865-406-9089

*Drop items to K.C. Williams @ the Blount County Library