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Friday, March 18, 2011

7:00 to 9:00 p.m.


Terminal 110, New Haven
AUCTION/RAFFLE DONATION FORM

Auction donors will be recognized in the program book, on the TV’s located throughout the club, in the HHSI newsletter
and on the Girl’s Night Out page of the HHSI website.

DONOR (Name you wish in auction program)

CONTACT NAME

ADDRESS

TELE FAX E-MAIL

ITEM/SERVICE DONATED (include description for sign)

SPECIFICS/DATES/CONDITIONS

RETAIL VALUE $ GIFT CERTIFICATE NEEDED?

SOLICITOR (S):

THE EVENT COMMITTEE IS GRATEFUL FOR YOUR GENEROSITY.


THANK YOU.

PLEASE RETURN THIS FORM BY 2/11/11 TO:


HHSI
Attn: Emily Gangi
14 Sycamore Way, Branford, CT 06405
PHONE 203-483-2630 EXT.227 FAX 203-483-2644
Harbor Health Services, Inc. is a non-profit 501c(3) organization.

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