Casino Royale Auction Item Donations Please complete this form for each item being donated. CR-Auction Item Donation Form Item to be Donated Description: * Description of item(s) to be donated (list all items) Estimated Retail Value Note: Depending on the value, your item may be combined with other items as part of an auction item. The decision to combine items is at the discretion of TLC Women’s Charitable Foundation. Type of Item Physical item* , able to be displayed on table or the floor at the event Physical item, too large to be conveniently moved or displayed at the event Certificate for goods or services (Please provide the certificate) For items too large - Item will be represented by photos, drawings and thorough description) Physical Items can be dropped of to: xxxxx Restrictions List any restrictions on your redemption certificate(s). We request certificates expire no less than one year from the date of issue. Donated by: Name Name First Name First Name Last Name Last Name Business Name Address * Address Address Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Phone * Phone Type Mobile Work Email * Tax Receipt Yes - Email me a receipt for tax purposes No - I do not require a tax receipt Name of Person Who Asked You to Donate: Solicitor Solicitor First Name First Name Last Name Last Name Submit If you are human, leave this field blank. Δ
