eng ~~ Silent Auction Committee My 7964-6 Arjons Drive net etied CA 92126 © 247 : San Diego Serna 800-429-5077 ex Silent Auction Donor Form Thank you for your donation. Please fill out and fax to 863-688-9805. If you have any questions about how to fill out the form, please call 800-429-5077 EXT 347, Tina Stafford. Please retain a copy of this form for your records. San Diego, Fall, 2009 Conference. + + Donor Information - ATTN: TINA STAFFORD ‘Company Name. Prefix (Mr/Ms). First Name. Last Name. Phone. Alt Phone. Best time to reach, Mailing Address, Suite/Apt#. City. State, Zip Code. Province, Country. What name would you like displayed as the donor, individual or company name or both? Or do you prefer to be anonymous?. Donation Information Date Submitted. Signature Item Title (no more than 10 words) Item Description (no more than 50 words) Exceptions/Expirations. Suggested Suggested Suggested Retail Value $. Minimum Bid $. Minimum Bid Increment $. (can be $0) Please check the box that applies: 1 Merchandise O ser OFFICE USE ONLY Date Item received. Item #. Item Category. Donor #. Winning Bid $. Bidder #