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The 1st Annual Auction
to Support The Loudoun Aftercare Program – ALPHA HOUSE
Donor Information
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Please print clearly
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Donor or Company Name
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Name to Appear in Catalog
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Donor Thank You
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Contact Person
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Donor Address
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Phone Number
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Fax Number
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Donation Is
[ ] Company [ ] Personal [ ] Other___________________
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Signature (required)
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ITEM INFORMATION
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CATALOG ITEM NAME
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Detailed Description: Include Restrictions on trips, tickets and travel, size, color and other information to ensure proper understanding of donation. Attach brochure if available.
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Expiration
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Value
$
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[ ] My Donation Will be Mailed [ ] Please have a representative contact me about delivery
Please provide illustrative materials on your donation that are suitable for display at the auction.
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SOLICITOR
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Please attach business card
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CLICK HERE TO DOWNLOAD FORM
The Loudoun Aftercare Program is a 501(c)(3),
and all donations are tax deductible to extent permitted by the law.
Partnering with Prison Fellowship Ministries, Inc. ®
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