<p> DONATION FORM Rotary Club of Maryville Great Gatsby Gala and Auction February 10, 2017 Capitol Theater, 6:00 PM</p><p>ITEM SOLICITED BY ROTARIAN: ______</p><p>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):</p><p>______</p><p>______</p><p>______</p><p>______Use back of this form if necessary. Please use a separate form for each unique donation or set of donations.</p><p>Value: ______</p><p>Minimum Bid, if required: ______</p><p>Name of Donor and Company, if applicable: ______</p><p>Address: ______</p><p>______City State Zip Code</p><p>Phone: ______Fax: ______</p><p>E-mail:______</p><p>Donor Authorization:</p><p>Signature:______Date:______</p><p>Our Foundation is 501.C3. Tax Id #26-2766277</p><p>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</p><p>ROTARY CLUB OF MARYVILLE-ALCOA TENNESSEE P.O. Box 4726 Maryville, Tennessee 37802</p>