EmailMe Form - PS 107 Spring Auction 2012 Donation Form

Donor Name: *
Contact Name: *
Please indicate a person who may be contacted with questions regarding this donation.
Donor Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region
Phone number of Contact Person *
### - ### - ####
Email *
Authorization *
By checking this box I authorize this donation to the PS 107 PTA 2012 Auction on the date submitted
Type of Donation *
Gift Certificate
Merchandise
Cash Donation
Other
Description of Donation *
Retail Value
$ Dollars . Cents
If the dollar value is "priceless," or is not relevant, please enter 999.99.
Expiration Date where applicable
MM / DD / YYYY
If your donation qualifies for an ad in our auction program, please indicate your preference:
Yes, I would like an ad in the auction program
No, I would not like an ad in the auction program
Attach your ad here......
Ads in the Auction brochure are available for donations of over $50 in value. The brochure is printed in black-and-white. Images can be attached to this form, or can be mailed to
PS 107 PTA
1301 8th Ave.
Brooklyn, NY 11215
Comments: