St.

Augustine Academy
Auction Donation Form
A Tribute to Ronald Reagan
Please fill out completely and attach to donated item. Please submit items to the
main campus.

FAMILY NAME: ____________________________________________

ADDRESS/PHONE #: ________________________________________
ITEM NAME/DESCRIPTION:
__________________________________________________________
VALUE OF ITEM: ____________________________________________
IF GIFT CERTIFICATE:
EXPIRATION DATE: ____________________________________
RESTRICTIONS?: _______________________________________
DONOR (If other than yourself):
NAME: _____________________________________________ _
ADDRESS: _____________________________________________
PHONE: _______________________________________________
Please fill in the value of the item.
Please have items in by October 31, 2011. The earlier the better, though!
You may give your items to Mary Orellana (525-4551) Big Red Suburban!