2011Golden Anniversary Dinner Auction and Product Donation Form Feb2011

							              Golden Anniversary Dinner – The 50 Year Journey
                      Saturday, September 24, 2011
                        Shenandoah Country Club


DONATION ACQUISITION FORM

______Yes, our company would be proud to make a donation in support of the CALC 50th Anniversary Dinner held
at Shenandoah Country Club, West Bloomfield, Michigan on Saturday, September 24, 2011. We would like to
donate the item(s) listed below.

    1. ___________________________________________________ Est. Retail Value $ _______________
    2. ___________________________________________________ Est. Retail Value $ _______________
    3. ___________________________________________________ Est. Retail Value $ _______________


______ Sorry, we cannot donate an item at this time, but would like to make a monetary donation to Chaldean
American Ladies of Charity in the amount of __________________________.

Items will be placed on display or provided at the Event. If the donation is in the form of services, please provide
a gift certificate or letter with a description of the service.

Please fill in all necessary information on this form. Retain a copy for your files as your tax receipt. Please return
the original via mail, fax or email to:

                                        Chaldean American Ladies of Charity
                                        32000 Northwestern Hwy, Suite 150
                                            Farmington Hills, MI 48334
                                            rpappadakis@calconline.org
                                               Fax: (248) 538-8320

Name of Donor or Company Name to be listed in the program:

________________________________________________________________________________________

Contact Name:_______________________________Signature of Donor:_____________________________

Address:_________________________________________________________________________________

City_________________________________________________Zip Code:____________________________

Donor Phone:_________________________________Email:_______________________________________

CALC member obtaining donation:____________________________________________________________

                             For further information contact: CALC at (248) 538-8300

  For Donor’s name to be listed in the program, this acquisition agreement must be returned by Sept. 10, 2010.
        CALC is a non-profit organization and all donations are tax deductible. Tax Exempt #38-2336363.