GAZeL One Laptop Per Child Golf Silent Auction Form

If you would like to print and submit the form manually, use the 'Printer friendly version' link below. The you can either fax it to 801-606-7912 or mail it to:

To submit the form electronically, complete the following information and click submit at the bottom of the page.

Contact Name
Donor/Company Name
Address
City	State Zip
Telephone	Fax
Web Address	Email
How would you like to be listed in the auction program?

Item Donated
Retail Value $
Donor Declared Value (if no retail value) $
Actual Item Certificate from donor GAZeL to create certificate

If GAZeL needs to create
a certificate, would you like
to approve it?

Yes No

Please give us a detailed description of your item:
Limitations: Please include expiration dates, limits on usage and any other important information:

Item/certificate taken by solicitor I will deliver item to GAZeL on
Please pick up item I will mail item/certificate to GAZeL

Thank you for your support

Your contribution will be recognized in the program brochure. GAZeL is affiliated with the Global Literacy Foundation,
a registered 501(c)(3) non-profit, charitable organization. Your contribution may be tax deductible.

By donating this item to the GAZeL (in affiliation with GLF), I understand that it will be
auctioned to the highest bidder at the GAZeL, One Laptop Per Child Golf Tournament. Further,
I authorize GAZeL and/or its designee to use, publish or promote the above information without limitation. GAZeL & OLPC

Solicitor Name: Phone: Fax:

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GAZeL One Laptop Per Child Golf Silent Auction Form

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