SUNA Foundation Silent Auction
November 3, 2012
Silent Auction Donation Form
Forms are also available on the SUNA Web site at: www.suna.org, click on the Events tab
Send completed forms to email@example.com or fax to 856.589.7463 by 10/3/12
Phone Number: Email:
City , State: Zip:
Suggestions for donations:
electronic devices (cell phones, tickets to sporting or cultural gift certificates
iPods) events medical books or journal
sports or theater memorabilia vacation packages subscription
chapter’s themed gift baskets educational toys and software jewelry
nursing themed gifts original artwork or crafts Use Your Imagination!
Briefly describe the item you are providing for the Silent Auction in the space below.
Use a separate form for each item you wish to donate.
Please supply ALL requested information.
Item or service:
Estimated retail value: $ Special Restrictions:
Description of Item/Service:
Photo attached ٱYes ٱNo
Donor’s Signature: Date:
Please ship donated items to:
(Your name or designee / Guest)
Marriott Wardman Park Hotel
2660 Woodley Road NW
Washington, DC 20008
All items must arrive by November 1, 2012
If your donation is not a physical item, please provide promotional materials, including a description,
brochure, and/or photo for display during the auction.
All donated items support SUNA Foundation activities
(grants, scholarships and education programs) and are tax deductible
Thank you for your generous donation!