Silent Auction of Student Art Donation Form Charity Event: “Silent Auction of Student Art” January 29, 2005 (Benefiting the MCC Child Care Center) INSTRUCTIONS: Please fill out this form and return it to the Student Government Association office (Building 3 room 127A). Donations will be collected until December 17th. All artwork will be accepted. Framed work would be greatly appreciated. The donation can be accepted by: Ms. Elizabeth Stewart Associate Director, Campus Center Monroe Community College 1000 East Henrietta Rd. Rochester, NY 14623 NAME: ______________________________________________________ ADDRESS: ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ PHONE #: ____________________________________________________ DESCRIPTION OF ART: _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Monroe Community College is a non-profit organization, and all donations are tax deductible. I am donating this item. Signature ________________________________ Date___________