Silent Auction donation form 2009 by inr11138


									         Saturday                                                                               Providence Campus
       March 28, 2009                                                                                6:30 p.m.
                                          Reaching for the Stars
                                                5TH Annual Spring Gala

                                       Silent Auction Donation Form

Please check one:                         Personal Donation               Corporate Donation

Individual Name:__________________________________________________________________________

Company Name:__________________________________________________________________________

Contact Name:______________________________________Email:________________________________


City, State:_____________________________________________ Zip:______________________________

Bus. Phone:_______________________________ Home phone:___________________________________

Description of Donation (please be as specific as possible):


Special Instructions (please include any restrictions or expiration dates):


Fair Market or Retail Value of Donation: $ ______________________________________
Contribution may be tax deductible as provided in Section 170 of the Internal Revenue Code.
Please check one:
   Item needs to be picked up, please call to schedule.
   Please contact me regarding my donation
    Though I cannot donate an auction item, I have enclosed a check to support Providence.
    (Please make checks payable to Providence Catholic School.)

    I would like more information about purchasing a table or individual tickets.

  Please return this form via mail or fax to Providence Attention: Spring Gala Silent Auction.

   1215 North St. Mary’s Street   • San Antonio, Texas 78215-1737• P (210) 224-6651 • F (210) 224-6214 •

                          A commitment to Catholic education by the Sisters of Divine Providence since 1951.

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