Great Gatsby Gala and Auction

DONATION FORM Rotary Club of Maryville Great Gatsby Gala and Auction February 10, 2017 Capitol Theater, 6:00 PM

ITEM SOLICITED BY ROTARIAN: ______

DESCRIPTION OF ITEM (type or print - give complete details or attach a separate page. If the item is a dinner, cabin stay, boat ride, cookout, or the like, please give number of people and dates available):

______

______Use back of this form if necessary. Please use a separate form for each unique donation or set of donations.

Value: ______

Minimum Bid, if required: ______

Name of Donor and Company, if applicable: ______

Address: ______

______City State Zip Code

Phone: ______Fax: ______

E-mail:______

Donor Authorization:

Signature:______Date:______

Our Foundation is 501.C3. Tax Id #26-2766277

Note: This form must be received by January 20 to guarantee your full promotional benefits. All items must be received by February 5 to be included in the auction. Questions contact Christine Clanton. E-mail: [email protected] Phone: 865-256-3578 *Drop items to KC Williams @ the Blount County Library

ROTARY CLUB OF MARYVILLE-ALCOA TENNESSEE P.O. Box 4726 Maryville, Tennessee 37802