|
Donor Information
|
| Name: |
_________________________________________________________________________ |
| Address: |
_________________________________________________________________________ |
| City: |
_________________________________ State: ____________ Zip: _________________ |
| Phone: |
_________________________________________________________________________ |
| Email: |
_________________________________________________________________________ |
|
| |
|
Auction Information
|
| Auction Item: |
___________________________________________________
Value: ____________
|
| Auction Item: |
___________________________________________________
Value: ____________ |
| Auction Item: |
___________________________________________________
Value: ____________ |
| Auction Item: |
___________________________________________________
Value: ____________ |
| Auction Item: |
___________________________________________________
Value: ____________ |
|
Program / Advertising |
| Full Page |
$200 |
____________ |
| Half Page |
$100 |
____________ |
| ¼ Page |
$50 |
____________ |
Event Tickets |
$125 |
| ($100 before 3/31/09) |
| Total Tickets |
____________ |
| Amount: |
$ |
____________ |
|
|
|
| Rotary Club Member: __________________________________________________________ |
10645 N. TATUM BLVD. SUITE 200 PMB 230, PHOENIX, AZ 85028
http://www.boots-n-saddles.org |
