Great Chefs of Marin - AUCTION DONATION CERTIFICATE

Donor Name:
Address/City/ZIP:
Website:
Day Phone / Home phone:
Email:
Donor/Contact Title:
ITEM OR SERVICE DONATED:
Value:
EXPIRATION DATE OF THIS ITEM?
Other restrictions, if any:

EXPIRATION DATE IS 4/29/09 UNLESS OTHERWISE STATED. (PLEASE NOTE THE AUCTION IS NOT UNTIL 04/26/08.)

Please check one of the following:
Use this form as the gift certificate
Item needs to be picked up
Item will be shipped to Lifehouse address: 18 Professional Center Pkwy, San Rafael, Ca 94903

Your early response is greatly appreciated. Thank you for your donation

Questions? Please contact Nancy Riess at the Lifehouse office:
415.472.2373 ext. 305 or nancy.riess@lifehouseagency.org