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Reservation and Donation Form

Hidden
Office Tasks
- Payment received
- Documented……..
- Thank you letter sent…..
- Bid number assigned……
NAME*
First Last
ADDRESS*
Street Address Address Line 2 City State ZIP Code
EMAIL*
SPONSORSHIP OPPORTUNITIES
ADVERTISING OPPORTUNITIES
FUND A FUTURE CASH DONATION
Pre-designated dollar amounts
FUND A FUTURE CUSTOM DONATION
Donor defined dollar amount
IN-KIND AUCTION ITEM DONATION*
Do you have an item to donate to the auction? Experiences, service, antiques, and collectibles welcome. Due to limited space at venue, please no used items.
NAME OF ITEM OR SERVICE
DESCRIPTION
Please give specific details including any restrictions on services, expirations dates, color, size, etc.
FAIR MARKET VALUE
Donor’s estimate of item or service
DELIVERY
- Item is attached or enclosed
- Item will be delivered to WCDS no later than Friday, April 15
- I would like the auction committee to create a gift certificate for the donation item listed above. The contact information listed above will be printed on the certificate.
- Item will be ready for pick up on the date entered in the “other” field directly below
DO YOU WISH TO DONATE ANOTHER ITEM?
NAME OF ITEM OR SERVICE #2
DESCRIPTION
Please give specific details including any restrictions on services, expirations dates, color, size, etc.
FAIR MARKET VALUE
Donor’s estimate of item or service
DELIVERY
- Item is attached or enclosed
- Item will be delivered to WCDS no later than Friday, April 15
- I would like the auction committee to create a gift certificate for the donation item listed above. The contact information listed above will be printed on the certificate.
- Item will be ready for pick up on the date entered in the “other” field directly below
DO YOU WISH TO DONATE A THIRD ITEM?
NAME OF ITEM OR SERVICE #3
DESCRIPTION
Please give specific details including any restrictions on services, expirations dates, color, size, etc.
FAIR MARKET VALUE
Donor’s estimate of item or service
DELIVERY
- Item is attached or enclosed
- Item will be delivered to WCDS no later than Friday, April 15
- I would like the auction committee to create a gift certificate for the donation item listed above. The contact information listed above will be printed on the certificate.
- Item will be ready for pick up on the date entered in the “other” field directly below
PREFERRED LISTING NAME FOR SPONSORS IN EVENT MATERIAL
SUBMISSION FROM COMPANY OR INDIVIDUAL?
Is your sponsorship, advertisement, or donation submitted from a company or individual?
COMPANY NAME (if applicable)
TOTAL
$0.00
PAYMENT METHOD*
Pay here by credit card or remit check to Wakefield Country Day School (memo: Founder’s Gala Tickets).
CREDIT CARD
Card Details
Cardholder Name

Physical Address
1059 Zachary Taylor Highway
Huntly, VA 22640

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Mailing Address
P.O. Box 739
Flint Hill, VA 22627

(540) 635-8555
(540) 636-1501 (fax)
[email protected]

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Wakefield Country Day School does not discriminate on the basis of race, gender, sexual orientation, religion, nationality, or ethnic origin in the administration of its educational, employment, or admission policies, its scholarship, athletic and other school-administered programs.