the Silent Auction Donation Form

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					                              SUNA Foundation Silent Auction
                                   November 3, 2012
                                  Silent Auction Donation Form
   Forms are also available on the SUNA Web site at:, click on the Events tab
                   Send completed forms to or fax to 856.589.7463 by 10/3/12

Contact Name:
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!

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