** 12th ANNUAL **
2007 Midwest Winefest
Donor Form - Non-Wine Only
a benefit for the Guadalupe Health Foundation - 501 (c) 3
940 S. St. Francis
Wichita, KS 67211
316/264-8794 - phone
316/262-4938 - fax
DONATION DEADLINE:
March 11, 2007
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Personal Information
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Name/Business as it should appear in showbook
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Contact Name (if different from above)
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Address
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City/State/Zip
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Phone Number
Item Info
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Gift Item Name
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Donor estimated value
Gift Item description
Tangible Item
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Certificate
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Certificate
(If this auction donation is a gift certificate, please send to address above)
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Date
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Display Preference
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Donation should be displayed at auction
I will provide display materials for intangible items or to accompany donation
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No display materials
Thank you for your interest in the Midwest Winefest!