IN ASSOCIATION WITH PHOENIX CHILDREN’S HOSPITAL,
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THIRD ANNUAL CASINO NIGHT & SILENT AUCTION
Saturday, October 4, 2008
Arizona Biltmore
All net proceeds will benefit Phoenix Children’s Hospital’s
Center for Cancer and Blood Disorders.
DONATION FORM
COMPANY/BUSINESS NAME: ____________________________________________________
ADDRESS: ____________________________________________________
CONTACT PERSON: ____________________________________________________
PHONE: ____________________________ FAX: ___________________________________
Please indicate below how you will contribute to our fundraiser. We appreciate your support and remind you that your donation is TAX DEDUCTIBLE. For your records, the tax ID number for Phoenix Children’s Hospital is 74-2421549 .
PLEASE RETURN or FAX THIS COMPLETED FORM WITH DONATION INFORMATION TO:
Gerri Richards, Committee Chair Irma Loebe, Committee Chair
Phone: (602) 569-7824 Fax: (602) 404-1593 Phone: (602) 569-6802 Fax: (480) 661-2803
19009 N. 35th Way Phoenix, AZ 85050 4542 East Libby Street Phoenix, AZ 85032
PRIZE DESCRIPTION: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
RESTRICTIONS, if any: __________________________________________________________ _____________________________________________________________________________
PRIZE VALUE: ____________________
Will you supply us with a gift certificate describing this prize? _____________
Do you need our auction committee to prepare a certificate? _____________
Do you need a donated item to be picked up? _____________
THANKS AGAIN FOR YOUR SUPPORT!
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