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Movers Shakers Silent Auction Donation Flyer 2011

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Movers  Shakers Silent Auction Donation Flyer 2011 Powered By Docstoc
					        SGMP’s ANNUAL
       MOVERS & SHAKERS
SILENT AUCTION DONATION FORM
              The Heart of Illinois Chapter of SGMP is holding their
                    annual MOVERS & SHAKERS fundraiser
           MONDAY, APRIL 18, 2011 from 5:00PM to 8:00PM at Bennigan’s!
  Proceeds go to our scholarship fund. We need your help to be successful! Please
  support the chapter by donating silent auction items and attending the event!

  I would like to donate _______________________________________________ for the silent
  auction or raffle.

  Contact Name/Company:_______________________________________________________

  Telephone Number:______________________________________________________________

  Email:____________________________________________________________________________

  Please provide a detailed description of your item:

  ____________________________________________________________________________________

  ______________________________________________________Value: _____________________

  We are also doing the WALL OF WINE again this year! Donate a bottle of wine with a minimum value of
  $10. If every member donates ONE bottle of wine, we’ll have almost 90 bottles to pull from!

  If you are providing a gift certificate, please provide the following on the certificate:
  -Name of product or service
  -Description of what is included and what is excluded
  -Name of person to contact for further information
  -Name, address and full contact information for you or your company
  -Instructions on how to redeem item
  -Include any additional information such as a photo or description brochure as appropriate
  -Date of expiration

  _______ I will bring the item to Movers & Shakers on April 18th.

  _______ I will ship/mail the item.

  Please mail or fax this form and items to:     Angie Wanger
                                                 Illinois Public Health Association
                                                 223 S. 3rd Street
                                                 Springfield, IL 62701
                                                 Fax: 217-522-5689 Email: awanger@ipha.com

				
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