2014 Herb Shore Silent Auction & EIA Champagne & Wine Toss

Thank you for deciding to make a contribution to the Herb Shore Silent Auction and/or the EIA Champagne & Wine Toss! Please complete the following information by May 2.

Both events will be held at the Renaissance Austin Hotel; the Champagne & Wine Toss on May 18 (in conjunction with the Kick-off Reception) & the Silent Auction on May 19-20 and the funds go toward EIA to support scholarships.

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* 1. Donor's Information

Name:

Organization:

Mailing Address:

City:

State:

ZIP:

Email Address:

Phone Number:

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* 2. Type of Donation

Item (including champagne/wine bottle(s)) - Proceed to #3; Disregard #5

Monetary (check; your donated funds will be used to purchase a(n) item(s) for the Silent Auction and/or champagne/wine for the Champagne & Wine Toss)- Skip ahead to #5

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* 3. Please describe the item or champagne/wine bottle(s) you are donating:

NOTE: Please be as descriptive as possible; if donating multiple items, include the total # of items.

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* 4. Approximate Retail Value of the Item(s) or Champagne/Wine Bottle(s):

Approximate Value: $

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* 5. Monetary Donation (must be in the form of a check written out to Educational Institute on Aging)

Amount of Donation: $

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* 6. How, when, and to what location will the item be delivered?

Monetary Donation - delivered to the LeadingAge Texas Office by May 5 (must be in the form of a check written out to Educational Institute on Aging)

Auction Item or Champagne/Wine Bottle(s) - delivered to the LeadingAge Texas Office by May 5

Auction Item or Champagne/Wine Bottle(s) - delivered in person to The Renaissance Austin Hotel on May 18

Contributing a monetary donation?
- Please make the check out to Educational Institute on Aging.
- Mail or deliver the check to the address below.

Delivery Options:
1) Mail or deliver the check/auction item/champagne or wine to the address below:
LeadingAge Texas
ATTN: SILENT AUCTION/ATTN: CHAMPAGNE/WINE TOSS
2205 Hancock Dr.
Austin, TX 78756

2) Schedule a pick up! If you're in the Austin area, we're happy to pick up your donation! Contact Amanda at amanda@leadingagetexas.org or (512) 467-2242 to schedule.

3) Deliver the auction item or champagne/wine on-site at the LeadingAge Texas Registration Desk at the Renaissance Austin Hotel on May 18.

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* 7. Donor's Electronic Signature

Name:

Date:

Questions about the Silent Auction?
- Contact Amanda Wiedenfeld at amanda@leadingagetexas.org or (512) 467-2242.

Questions about the Champagne & Wine Toss?
- Contact Alyse Migliaro at alyse@leadingagetexas.org or (512) 467-2242.

Again, thank you so much for your contribution to the 2014 Herb Shore Silent Auction & EIA Wine Bottle Ring Toss!

Question Title

* 1. Donor's Information

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* 2. Type of Donation

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* 3. Please describe the item or champagne/wine bottle(s) you are donating:NOTE: Please be as descriptive as possible; if donating multiple items, include the total # of items.

Question Title

* 4. Approximate Retail Value of the Item(s) or Champagne/Wine Bottle(s):

Question Title

* 5. Monetary Donation (must be in the form of a check written out to Educational Institute on Aging)

Question Title

* 6. How, when, and to what location will the item be delivered?

Question Title

* 7. Donor's Electronic Signature

* 3. Please describe the item or champagne/wine bottle(s) you are donating:

NOTE: Please be as descriptive as possible; if donating multiple items, include the total # of items.