WBTA 2010 Silent Auction

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