WBTA 2013 Silent Auction
AUCTION DONATION FORM
Mail / Drop Off Donations by March 1, 2013 to:
Carey Limousine of Wisconsin
Attn: Peter Browne
3250 E. Layton Avenue
Cudahy, WI 53110
Questions contact: Shannon Colias 414-265-6410
DONOR INFORMATION (Please complete all areas)
Donor’s Name Phone Fax
Company Name (if applicable)
Address
City State Zip
Donor Signature Date
DONATION INFORMATION
DESCRIPTION OF DONATION:
VALUE OF DONATION $
Please check one:
q My donation accompanies this form
q I will delivery item by
q Please pick up item on
If you are donating a certificate to be redeemed at a later date, please include a brochure or complete description of your item to be displayed during the silent auction.
FOR OFFICE USE ONLY
Category / Inventory No.Date Received / Min Bid/Selling Price:$