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2009—Sixth Annual Silent Auction
Sponsored by: The Caring Institute
Prize Donation Form

  Donor/Organization: 
Address: 
City: 
State: 
Zipcode: 
Country: 
Phone: 
Fax: 
Email: 

Please submit this commitment form with prize description by September 2, 2009, to be included in the auction and publication. All prizes certificates and materials must be received by September 2, 2009. We request that all prize certificates are valid beginning October 10, 2009.

We will donate
the following: 
Hotel Guest Room Package
City/State Theme Package
Family Getaway Packages
Weekend Packages for two
Consulting Services
Restaurant Packages
Unique gifts and services
Conference Speaking Packages
Sports Memorabilia
Other
Room Nights:   (please indicate the number)
Meals:   Breakfast (please indicate the number)
Lunch
Dinner
Airfare:   # of Tickets
Airline

Help us sell your package by providing a complete and creative description of your donation (100-150 words) for the auction listing. NAHC Staff reserves the right to make necessary changes to suggested prize name and copy.

Prize Name: 
Estimated Value: 
Minimum Bid: 
Donor Web Link: 
Description: 

Please direct questions or mailings to:

Keith Kerneklian - President's Office - ksk@nahc.org
National Association for Homecare & Hospice - 228 Seventh Street SE
Washington, DC 20003 - 202.547.7424 office - 202.547.3540 fax



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© 2010 National Association for Home Care & Hospice
228 Seventh Street, SE | Washington, DC 20003
Phone: (202) 547-7424 | Fax: (202) 547-3540