Name:
Address: City State Zip
Telephone: Email Address
Special Instructions:
DONATED ITEM OR SERVICE
|
Description |
Quantity |
Retail Value |
Suggested Minimum Bid |
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_______ I would like to make a cash donation to be used to purchase supply items for the silent auction. Enclosed is my
check or money order made out to the Coastal Bend Intergroup Association
_______ I would like to make a cash donation to the Coastal Bend Intergroup Association. Enclosed is my
check or money order made out to the Coastal Bend Intergroup Association
Donor Signature:
Mail form and drop off donation item at: CBIA - Office Park South
3833 S. Staples Suite 212
Corpus Christi, TX 78411
All Proceeds Benefit the Coastal Bend Intergroup Association