SILENT AUCTION DONATION FORM

The American Cancer Society
Relay For Life of Southern Montgomery County
June 3, 2017
Submit to RFLSoMoCo@gmail.com

TEAM INFORMATION

Please credit this Silent Auction Item to the following team:

Team Member Name and phone number: 

Team Name:   	

Item being submitted (Check one):
 	Gift Basket
 	Gift Certificate/Gift Card
 	Other – necklace and earrings

ITEM INFORMATION

Please fill in the information below as you would like it listed on the Bid Sheet at event:

Item Title: 

Item Description (please list all items in a gift basket)

	_

_ 	_

Fair Market Value: $ 	_ Expiration Date (if applicable)    	

Restrictions (blackout dates, etc)    	

Recommended Starting Bid (subject to change) $   	_

If Item has been donated by an individual or business:

Individual/Business
Name:  		
Address/City/State/Zip:  	
 	_
Phone Number:	

FOR AUCTION USE ONLY

Date Rec’d:  	

Auction Item #_