AUCTION DONOR FORM
Name:
Organization:
Address:
City:
State:
Zip:
Phone:
Fax:
Email:
Affiliate:
(if applicable)
County:
Complete Description of
Item Being Donated:
Value of Item
Being Donated:
Suggested Minimum Bid:
Name of Individual or
Organization to be listed
in the Auction Booklet as
donor:
Address to send
acknowledgement
if different than above:
Any special requirements
or Restrictions for the
Donation:
Donation Solicited By:
(NAMI member)

A Life's Journey."
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If you have found this information useful, won't you please consider supporting NAMI?
Your contribution will help us to continue helping millions of people living with mental illness.

HOT LINKS:
Emergency Preparedness  Forensics  Educational Programs
Resources  Legislation  News  Affiliates  Join
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email us: nami-pa@nami.org
1-800-223-0500 1-717-238-1514 TTY: 1-800-890-6093 1-717-238-3593
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