St. Thomas Aquinas Auction Benefit Donor Form

Donor:
First Name*:
Last Name*:
Address*:
City*:
State*:	DC AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zipcode*:
Email Address:
Phone Number (xxx-xxx-xxxx)*:
Fax Number (xxx-xxx-xxxx):
Contact Person*:
Signature*:
Item:
Description of Donation*:
Special Restrictions:
Approximate Retail Value* $:
I am enclosing a gift certificate.
Please generate a certificate for me.
Please show this donation as anonymous.
I will forward a certificate by:
Expiration Date:
Item to be picked up by Auction Representative.
Item will be delivered to the school.