Teardrops to Rainbows
Monday, September 06, 2010
Helping Children with Cancer

Raffle/Silent Auction Donation

In the past we have accepted a wide range of donations, such as vacations packages, collectibles, show/sports tickets, gift certificates, and even works of art. Your donation is tax deductible and the name of your business will be recognized at the event.  We will also be happy to display any promotional material you would like to include at the event.   Thank you!

Name:    
 

Company (if applicable): 

Address:   

City:    State:     Zip:

Daytime Phone:    
 
Email: 
 
Donated Item(s) Description: 
 
Total Value of Each Item:    
 
Restrictions (if any): 
 
Method of Redemption:   
  
Please mail any items and materials to:

Teardrops to Rainbows
P.O. Box 1059
Centreville, VA 20122

If item needs to be picked up for the event, please indicate here: