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ASSE Foundation 19th Annual Silent auction

June 24-27, 2013 - Las Vegas, NV

Please complete this form by May 30, 2013.

Questions? Contact Adele Gabanski by email, phone (847-768-3435), or fax (847-296-3769).

All items donated to the ASSE Foundation are free and clear of any future expenses.

Item Donation Form
Value:
(Minimum $50)
Donated By:
Expiration Date:
(if applicable)
Dates of Use:
(if applicable)
Buyer Should Claim Item by Contacting:
Name:
Company:
Address:
City:
State:
Zip:
Phone:
Email:
The ASSE Foundation Will Acknowledge:
Name:
Company:
Address:
City:
State:
Zip:
Phone:
Email:



ASSE Foundation Highlights