ASSE Foundation 17th Annual Silent Auction

June 12 – 15, 2011 – Chicago, IL

Please complete this form by May 1, 2011.

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
Item Description
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