John F. Kennedy Band Boosters
8281 Walker Street, La Palma, CA 90623
Federal Tax ID
# 95-3782449
Auction Contribution Agreement
_______________________________________ hereby agrees to donate the item(s) or service(s) described below to the John F. Kennedy Band Boosters Live, Silent Auction Gala Event. Event to be held on Saturday, September 15, 2007 at the Sheraton Park Hotel at the Anaheim Resort, 1855 S. Harbor Blvd, Anaheim, CA 92802.
________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________
Estimated Value: $__________
Date:_____________________
Name: _______________________________________
Title: ________________________________________
Address: _____________________________________
Telephone: ___________________________________
Email Address: ________________________________
I would like to donate money to help underwrite the expenses.
[ ] Check (Payable to “John F. Kennedy Band Boosters”) $ __________________
[ ] Please
bill my credit card a ONE TIME charge of $ _____________
Payment: [ ] Visa
[ ] Mastercard [ ] American
Express
Exact Name on the Card:
________________________________________________
Card No.___________________________________ Expiration Date ____________
Signature: ____________________________________________________________
Please retain a copy of this form
for you records and to substantiate your contribution to a Federal tax-exempt
organization.
Please mail this form to the
following address: Henri Soucy, 8041 E. Desert Pine Drive, Anaheim, CA
92808-2414
Auction Committee Use Only:
Item Received: ___________________________
Date Received: _________________
Item Section Assigned: _____________________