Auction Area: Catalog #: _________________Location: ___________ ___
Acquisition Form Celebrate the Night in Black & White January 20, 2018 Contributor Information ____________________________________________ Anonymous
Donor Name/Company – For Website: ______ Contact Person: __________________________
_________________________
Address: _________________________________________________________
________ Phone: _______________
________________ ____
___________ ____ Email: _________________
___________________
Donation Description for Baskets, Gift Cards, or Services Item: _____________________________________________________________________________________________________________________________________________ Item Description/Detailed List of Contents: __________________________________________________________________________________
___________
_____________
__
____
Donor’s Estimate of the Fair Market Value: $________________________ Monetary Donation: $__________________________ Donor has received nothing of value in exchange for this donation.
Delivery Arrangements
Select One:
Contributor will deliver item to: St. Alphonsus / St. Patrick School
on ____/____/____
Auction Committee can pick up item at: ____________________________________________
on ____/____/____
Out of Uniform Pass Incentive Section (Effective until December 22, 2017) School Family Name ___________________________________________________________________________________________________ Please check one Value Classification of how the value of the donation is to be determined. This cannot be changed once submitted to the Gala Committee. If no proof is attached, please check Post Gala Value. *Pre-Gala Value: $______________
Post Gala Value: $_______________
The following proof is attached for the *Pre-Gala Value. 1) __________ A basket donation with a receipt detailing the items / contents of the basket. 2) __________ A Gift Card or Service Certificate (face value is visible) Exp. Date, if any: _____ / _____ / _____ 3) __________ A check for Corporate Sponsorship** or ___________ A check for Ad purchase for the Auction Catalog** **All sponsorships and ad purchases must also submit an artwork in jpeg format. Pre-assembled baskets or supplies for assembly are greatly appreciated! Signature of Contributor: ____________________________________________ Solicited by:__________________________________
__ _____ Date: _______ / _______ / _______ ______________
THANK YOU FOR YOUR CONTRIBUTION! St. Al/St. Pat’s 20W145 Davey Rd. Lemont, IL 60439 (630) 783-2220 Fax (630) 783-2230 www.stals-stpats.org Questions? Please contact: Stephanie Kula (630) 842-0381 or email:
[email protected] St. Al/St Pat’s School, a 501 (c) (3) non-profit organization. Our School EIN: 36-3449707; NCES School ID: 00342485
