Please complete, print, and return this form to The Hudson Valley Writers' Center, 300 Riverside Drive, Sleepy Hollow, NY 10591 or fax to 914-332-4825. Your donation is tax-deductible. We will send you a letter to file with your tax records. Thank you!

The Hudson Valley Writers' Center
Annual Autumn Celebration

November 3, 2006
Sleepy Hollow Country Club

Date

I would like to support the Writers' Center by donating an item or service to be auctioned at its 2006 Autumn Celebration:

My donation (item or certificate) is enclosed My donation is being sent separately
Please have someone pick up my donation after calling first to make sure it's ready
My donation is a service described below - no official document is necessary to redeem

Donor Information (you may attach a business card instead):

My Name:

Name of donating business:

Number/Street:

City: State: Zip:
Telephone:
E-Mail:
Website (will be listed in auction booklet):

Donation Information:

Description for auction program booklet:

Estimated Value: Suggested Minimum Bid (usually 50% of value):

Any restrictions/time limits on donation? No Yes (please describe below)

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