Back Body Copy |
MDA Black ‘n Blue Ball
Auction Donation Form
Auction Item Information
Item Name: _____________________________________________________
Complete Item Description (please be as specific as possible. Include information such as size,
color, style, quantity, any special exclusions, hand made, limited edition, one-of-a-kind, special
interest information, etcs: _________________
Donor Information
Contact Name: ____________________________ Phone #: ______________________
Donor Company: ________________________________________________________
Address: ______________________________________________________________
City: _________________________________ State: _________ Zip Code: __________
Email:_________________________________________________________________
Mailing/Delivery Information
*** RETURN THIS FORM WITH YOUR DONATED ITEM TO THIS ADDRESS ***
Muscular Dystrophy Association
Attn: Black ‘n Blue Ball - Kelley
7401 Metro Boulevard, Suite 325SP, Edina, MN 55439
Tel: 952-832-5716 • Fax: 952-831-7131 • Email: khoolihan@mdausa.org)
|