Auction Donation Form

*Item Donated:
*Value of Donation:
*Company Name:
*Contact Person:
*Address 1:
Address 2:
*City:
*State:
*Zip:
*Email:

*Name under which the donor would like to be acknowledged in printed material:


*Please check one of the following:
	Donor will deliver item. *Date item will be delivered:
	Item needs to be picked up. *Date item will be available for pickup:
	I give Ordway permission to take content from this donation form to create a gift certificate for the winning bidder.
*Restrictions/Limitations (if any):


If available, please provide material such as brochures, small posters, or business cards for display (subject to space availability) at the event. Promotional materials provided:


I, undersigned donor, hereby acknowledge and agree to provide the stated goods and/or services to the Ordway Circle of Stars, a non-profit, tax exempt organization. Tax ID: 41-1821212.
*Donor's Name:
*Date:

* Required fields
Contributions are tax deductible to the extent provided by law.

Ordway