Sugarloaf Citizens Association

Silent Auction Donor Form
for Saturday, Sept. 30, 2006

12:00 noon to 4:00 pm

 

     Please fill out this form and return with item by Saturday, Sept.16, 2006
         to Laura Van Etten, 18900 Beallsville Road, Beallsville, MD 20839
    

To make special arrangements for pick up please call or email
         Laura Van Etten at 301-972-7147, laura_van_etten@fanniemae.com

     Auction forms also available at www.sugarloafcitizens.org

 

 

Donor Name    ______________________________________________________________

Business         ______________________________________________________________

Address          ______________________________________________________________

City               ________________________________   State _________  Zip__________

Phone            __________________  Email ______________________________________

Description of Item: __________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Value of Item: ______________________________________________________________

Pick Up? (Y) (N) Location _____________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Contact person __________________________________ Phone______________________

          
Thank You!


For questions/information call Laura Van Etten at 301-972-7147, or cell 202-441-7906,

or email laura_van_etten@fanniemae.com

 

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