Gala Auction Form

Temple Beth Sholom Gala 2009 Honoring

District Court Judge Jackie Glass & City Councilman Steve Wolfson

Auction Donation Form Company name: (please print) __________________________________________________ Contact name: ______________________________________ Value of item(s): __________ Mailing address: ______________________________________________________________ City/State, Zip ________________________________________________________________ Phone: ________________ Fax: ________________ Email: ___________________________ Description of item(s): _________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Solicitor Name:________________________________________________________________ For proper recognition, please fax this form to: Temple Beth Sholom at 702.804.1370 prior to April 24, 2009. We will be happy to pick up donated items or you can mail your items to: Temple Beth Sholom 10700 Havenwood Lane Las Vegas, NV 89135 702.804.1333 ext. 103 Thank you for your participation. TBS is a 501(c) (3) Non-Profit Organization Tax ID#88-0073186