Dragon Ball 2011 Auction Registration Form

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					                 Dragon Ball 2011 Auction Registration Form
                   Deadline to confirm and receive auction items is January 14, 2011.

CONTACT NAME:                                                         POSITION:

COMPANY:

ADDRESS:

CITY/TOWN:                                         PROVINCE:                    POSTAL CODE:

PHONE:                                FAX:                                      E-MAIL:

     PLEASE INCLUDE A BRIEF DESCRIPTION OF THE AUCTION ITEM IN THE SPACE BELOW
                   in 50 words or less, to be used for promotional purposes.

Please clearly outline all restrictions and conditions, black out dates and expiry dates if applicable. Please
note the Silent Auction Committee and Yee Hong Community Wellness Foundation reserves the right to
modify the information to accommodate our promotional space.




     MARKET VALUE:                                              NO. OF ITEMS:




Please direct all shipping, inquiries and form submission to:
Tim Yeung
Yee Hong Community Wellness Foundation
60 Scottfield Drive, Scarborough, Ontario M1S 5T7
Phone: 416-321-0777 ext 1826            Fax: 416-321-0778     Email: tim.yeung@yeehong.com

                  Thank you for supporting Yee Hong and Dragon Ball!



          Yee Hong Community Wellness Foundation    60 Scottfield Drive, Scarborough, ON M1S 5T7   Tel: (416) 321-0777
www.yeehong.com