Friday, May 10, 2013 7:00 to 10:00 p.m.

WoodWinds, Branford
AUCTION/RAFFLE DONATION FORM
Auction donors will be recognized in the program book, in the BHcare newsletter and on the Girls Night Out page of the BHcare website. DONOR (Name you wish in auction program) CONTACT NAME ADDRESS TELE FAX E-MAIL

ITEM/SERVICE DONATED (include description for sign)

SPECIFICS/DATES/CONDITIONS

RETAIL VALUE $ SOLICITOR (S):

GIFT CERTIFICATE NEEDED?

THE EVENT COMMITTEE IS GRATEFUL FOR YOUR GENEROSITY. THANK YOU. PLEASE RETURN THIS FORM BY 4/19/13 TO EITHER: Ms. Kerry Haynes c/o BHcare 13 Sycamore Way, Branford, CT 06405 P: 203-483-2630 F:203-483-2644 Ms. Debbie Soulsby c/o BHcare PO Box 658, Ansonia, CT 06401 P: 203-736-2601, x.1321 E: dsoulsby@bhcare.org

BHcare, Inc. is a non-profit 501c(3) organization.