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Silent Auction Donor Form

Silent Auction Donor Form
NCSU Theater Endowment Board
2006 Silent Auction

Yes! I’d like to donate to the 2006 Silent Auction, to support the visual and performing arts programs at North Carolina State University

Here is my contact information:

Name of Organization
Please indicate if address below is home or business (click dropdown arrow for choices)
My first name
 
My last name Title
Street City
Daytime Phone State
Zip My email address

This is what I would like to donate

General description of the donated items or services (include limitations and restrictions):
(I understand that In order to comply with federal law, I must provide this information)

Description

This is the value of my donation $ (Value must be determined by the donor).

Click this checkbox if you consent to publication of name in Silent Auction materials and Gala Program:
I (Donor) consent to publication.

Here is how I would prefer to deliver my donation.
All donations should be received or picked up by April 1, 2006.
Items can be mailed to NC State University Theatre,
attn: Nancy Breeding, Campus Box 7306, Raleigh NC 27695-7306

Items can be delivered to the University Theatre offices, Talley Student Center room 1202A


Please choose one from the dropdown list below:


Submitted by the following board member:

If this item is part of a fantasy package, please indicate which package in the drop down box below:
Which package?

Board member name:

Member Email address: Daytime phone:


PRINT A COPY OF THIS FORM BEFORE CLICKING SUBMIT, OR PRINT A COPY OF THE CONFIRMATION FORM THAT WILL APPEAR AFTER CLICKING SUBMIT. Attach form to gift. No item will be accepted without the FULLY COMPLETED form. If you have more than one item to report, after clicking submit and getting the confirmation screen, you can return to the form by clicking the back button on your browser.

 

 

 

 

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