Roosevelt Elementary School 2012 annual auction donation form contributor ……………………………………………………………………………………………………..……. Store/Business Name Business Contact Person …………………………………………………………………………………………………………… Address …………………………………………………………………………………………………………… City State Zip ……………………………………………………………………………………………………………. E-mail/Website Telephone donation item ……………………………………………………………………………………………………………. Item Name Type of Donation: Value ○Merchandise ○Certificate ○Tickets ○Other………………….... Description of the items: (Please indicate quantity, size, color, promotional materials, photographs, etc.) ……………………………………………………………………………………………………………… ……………………………………………………………………………………………………………… ……………………………………………………………………………………………………………… Conditions and/or restrictions on items. (Please consider a minimum of one year before expiration) ………………………………………………………………………………………………………………. deadline: saturday, april 14, 2012 ○item enclosed ○will bring item/certificate to school office ○please contact donor for pick-up Donations received early will be promoted in Roosevelt’s publications. Contributions are tax deductible. Roosevelt Elementary School Booster Club is a non-profit organization under section 501(3)(c). Our tax I.D. is 95-4403109. Please return donation form and items to: Roosevelt Elementary School Booster Club 801 Montana Ave, Santa Monica, CA 90403 Phone: 310 650-0771 Fax: 310 587-1169 Email: teddybids2012@gmail.com thank you for your generous support!