Silent Auction Donation Form

Name: ______________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
Phone: __________ Email: _________________________ Fax: _____________

Service Provided or Item Donated: Please provide information as you would like it to appear in
the Auction Catalog for H-B’s Silent Auction. The auction will be held at H-B Woodlawn on
Thursday, Dec. 2, 2004. Thank you for contributing!

I will provide the following service for the high bidder:_________________________
_____________________________________________________________________________
__________________________________________________________________________
________________________________________________________________________
__________________________________________________________________________
_______________________________________________________________
Fair Market Value: ___________________________ Quantity: _________________
Expiration Date: ______________________________________________________
Restrictions/Limitations: __________________________________________________
________________________________________________________________________

I will donate the following item to the Silent Auction: __________________________
_______________________________________________________________________
_______________________________________________________________________
Fair Market Value: ___________________________ Quantity: _________________
___ Attached to or accompanying this form
___ I will bring it to H-B on_________________________________________________
___ I will send it via:______________________________________________________
___ Please call me to arrange delivery or pickup
Special handling or storage requirements:______________________________________
_______________________________________________________________________
_______________________________________________________________________

Please mail or bring completed form to:
H-B Woodlawn Music Department, 4100 Vacation Lane, Arlington VA 22207.
Taxpayer ID# 54-6001128

We greatly appreciate all contributions!