Butterfly Ball - Third Annual Child Mental Health Gala
Willow Oaks Country Club
BENEFIT AUCTION DONATION
Name
____________________________________
Phone ________________________
Company/Organization____________________________________________________
Address:__________________________________________________________________
City/State/Zip
_____________________________________________________________
E-mail address:
___________________________________________________________
Item(s)
__________________________________________________________________
Description/Limitations
___________________________________________________
___________________________________________________________________________
Value
of Item(s)
__________________________________________________________
How
would you like donation recognized in the program:
___________________________________________________________________________
Would you like VTCC to pick up
your donation picked up YES_____
NO_____
Phone number to call to
arrange pickup_____________________________________
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Donated to VTCC Butterfly Ball
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__________________________________Date: ______________
Item donated:
____________________________________ Value: _____
Item donated:
____________________________________ Value:
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Advisory Council of
the
800 E. Leigh Street, Suite 150 Richmond,
VA 23219 www.virginiakids.net
Tax ID # 52-1586450