September 13 – 17, 2021

September 13 ¨C 17, 2021

The Houston Area Women¡¯s Center works to end domestic and sexual violence and supports all in building safe and

healthy lives through advocacy, counseling, education, shelter and support services. Our services are free, confidential

and available to everyone.

Thank you for making a contribution to our silent auction. Please complete this form and email to Lisa Haymes,

Special Events Manager at lhaymes@. Form may also be mailed to:

Lisa Haymes, Houston Area Women¡¯s Center, 1010 Waugh Drive, Houston, TX 77019

Contact Name:

__________________________________________________________________________________________________________

Donor Name (as it should appear in HAWCtion website):

__________________________________________________________________________________________________________

Mailing Address:

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

Phone:

__________________________________________________________________________________________________________

Email:

__________________________________________________________________________________________________________

Brief Description of Your Donation:

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

Restrictions:

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

Approximate Retail Value: ______________________

Item to be picked up

Item delivered to HAWC

Item is a Gift Certificate (exp date: _________)

Please create a Gift Certificate for me, and send me a copy.

Donor¡¯s Signature: ____________________________________ Date: _____________

Solicitor¡¯s Name: ______________________________________

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