Silent Auction Donation Form
Please Print
Mr./Mrs./Ms. _____________________________________________________
Title ______________________________________
Company (if applicable) _______________________________________________________________________________________
Complete Address ____________________________________________________________________________________________
City _____________________________________________________________ State __________________ Zip ________________
Phone _______________________________________________
email address __________________________________________
It is with deep
gratitude that the Dearborn Women’s Expo acknowledges your generous support for our Silent Auction benefiting the Children’s
Leukemia Foundation of Michigan.
Donation Description
Please
describe the item(s) in detail. Also specify any restrictions or expiration dates, if applicable.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Please
Check One:
c Please Pick Up Donation on Date: ___________ c We will deliver to office on date: ____________
Donor Signature: _______________________________________________________________________________________
Please
give the actual value for IRS purposes: $___________________________________________________________________
AN INKIND DONATION FORM WILL BE SENT TO YOU FOR YOUR TAX RECORDS
The Dearborn Women’s
Expo 19112 Outer Dr, Dearborn MI 48128 --- PHONE: 313.586.7481
Thank you! Thank
you! Thank you! Thank you!