Wells Rotary - Auction 2012 - Auction Agreement

NAME OF DONOR/FIRM ____________________________________________________________

MAILING ADDRESS ____________________________________________________________

AUTHORIZED CONTACT ____________________________________________________________

TELEPHONE __________________________         EMAIL _________________________________

Auction Items

(Minimum Value - $50)

Certificate or item to be provided by donor: _____

Please create a Gift Certificate for me:         _____

Value of Item:                              ______________

Sponsorships

Small Board (12)         $150                _____

Big Board (4)              $350                _____

Mega Board (1)          $500                _____

Event Sponsors          $1,000             _____

(Please make check payable to Wells Rotary Club)

ITEM TO BE DONATED ______________________________________________________________

PREFERRED AD COPY TO BE USED ON AIR (35 WORDS OR LESS, PLEASE)

Previous donors: For your convenience a description of item(s) donated and ad copy is attached. Please review and make any necessary changes.

The undersigned hereby agrees to donate the item(s) specified below to the Wells Rotary Auction to be televised by Time Warner Cable on Thursday May 17, 2012 - 4:30 to 10:30 pm. It is agreed the copy supplied herein may be modified or edited to abide by broadcast standards

Authorized by (Signature ) _____________________________________________________

THIS FORM MUST BE FILLED OUT COMPLETELY AND RETURNED WITH ITEM NO LATER THAN APRIL 25, 2012 TO BE INCLUDED IN THE AUCTION

For Information and Item Pick-Up Please Contact Margaret Chigas at 207-646-4282

Wells Rotary Club - PO Box 203 - Wells, ME 04090

www.wellsrotary.org