American Girl - Mother/Daughter Auction

DEADLINE FOR DONATIONS: NOVEMBER 26, 2010

If paying by check, please click here to print form. Do not complete form below.

Check here if you are donating an item that you purchased or are contributing in your name.
Check here if you arranged for the donation from a business or other individual and we will credit them for the donation as well.

Donation
Donated Item/Service
Fair Market Value of Item/Service	$
Detailed Description of Item/Service (please include restrictions, quantity, size, color, etc. to ensure understanding of donated item)
Expiration Date (if applicable)


Donor Information
Donor or Company Name:
Donor Contact Person:
Donor Address:
City:
State:
ZIP:
Donor Phone #:
Donor Email:
Name & Class of Epiphany Contact (if applicable)
Contact Phone #:
Contact Email:


December 3, 2010, 6pm December 4, 1 & 6pm December 5, 11am Monsignor Farricker Parish Hall Second Avenue @ 22^nd Street An Epiphany Foundation Event All proceeds benefit The Epiphany School