fall ball 2015

Fall Ball 2015

SATURDAY, November 21, 2015

Donation Form — Auction

Please complete this form and return to the address below. All items donated are tax deductible within the limits of the law.

Name:
Company Name:
Address:
City, State Zip:
Email Address:
Phone:
Business Name:
(as it should appear)
Item Description:
Donation Value: $
Special Notes:

If you have questions, or need to arrange an item pick up, please contact Emily West at emilywwest@gmail.com