Auction Donation Form – 2010

We invite your donation of items to auction. To donate an item, please complete the form below.

PLEASE E- MAIL THIS FORM to fundraising@thyca,org BY SEPTEMBER 30, 2010 (earlier, if possible, to help us plan the listing). Or mail it to the address below.

1. Description of item, service, gift certificate, or gift card. (Please be specific. Include all restrictions, expiration dates, black-out dates, and other limitations on the use and availability of the item).
   
   
   
   
2. How shall the donation be acknowledged in the Program Booklet? (example: “Courtesy of XYZ Co.” or “Courtesy of {donor’s name})
   
   
   
   
3. Donor’s Valuation of Item (for IRS purposes): $
   
   
4. Company Name (if applicable):
   
   
5. Contact Person’s Name (and title, if applicable):
   
   
6. Your Name:
   
   
7. Address:
   
   
8. Day Phone Evening Phone:
   
   
9. E-mail:
   
   
10. Date:

If you have photos for our web site, please e-mail them as well. Please mail this form to: ThyCa Dinner/Auction, P.O. Box 1102, Olney, MD 20830-1102 or more information, e-mail to fundraising@thyca.org.
Thank you very much for your contribution!