Donation sheet - Phoenix Village Art Center

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A gala evening of art and game of choice in
support of the Phoenix Village Art Center,
Phoenixville Area Time Bank, The Christian
Community of PA, and Adesha Village
Art from the Heart
Saturday, May 31st
6:30 to 9:30 pm
Phoenix Village Art Center
Phoenixville, PA
Donation Form
Title ____________________________________________________________________________
Medium ___________________________________________________________________________
Artist (if known) ___________________________________________________________________
Size ____________________
Original (yes/no) _______
Signed/numbered ed._____________
Estimate of item's value $__________________________
Donor _______________________________ Organizational Affiliation ______________________
Address ______________________________ City _______________________ State__ Zip______
Email ___________________________________
For Art Center Use only: Tag No.______
______ Phone ____________________________
Group # ______ Notes: _____________________
Art from the Heart
A gala evening of art and game of choice in
support of the Phoenix Village Art Center,
Phoenixville Area Time Bank, The Christian
Community of PA, and Adesha Village
Saturday, May 31st
6:30 to 9:30 pm
Phoenix Village Art Center
Phoenixville, PA
Donation Form
Title ____________________________________________________________________________
Medium ___________________________________________________________________________
Artist (if known) ___________________________________________________________________
Size ____________________
Original (yes/no) _______
Signed/numbered ed._____________
Estimate of item's value $__________________________
Donor _______________________________ Organizational Affiliation ______________________
Address ______________________________ City _______________________ State__ Zip______
Email ___________________________________
For Art Center Use only: Tag No.______
______ Phone ____________________________
Group # ______ Notes: _____________________
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