INTERNATIONAL MYELOMA FOUNDATION
Ribbon of Hope-Making a World of Difference
Anniversary Gala
Experience Music Project Museum, Seattle, WA
October 4, 2003
Auction Donation Form
Thank you for donating the item(s) indicated below to be auctioned at the International Myeloma
Foundation's Ribbon of Hope-Making a World of Difference Gala on October 4, 2003 at the Experience
Music Project in Seattle, WA. Please describe the item(s) you plan to donate in detail, including any
restrictions (blackout dates, minimum starting bids, etc.). Use this opportunity to promote your product
and your company, if applicable. Although every attempt will be made to use the description as submitted,
the International Myeloma Foundation reserves the right to make adjustments deemed necessary. You may
fax or mail this completed form along with any additional information.
1. Yes, I am willing to provide an item for the Auction.
Estimated Value: $
Description of Item (USE SEPARATE SHEET IF NEEDED):
2. Yes, I am willing to provide an item for the Auction.
Estimated Value: $
Description of Item (USE SEPARATE SHEET IF NEEDED):
PLEASE PRINT CLEARLY; INCLUDE ALL REQUESTED INFORMATION
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DONOR:
COMPANY:
ADDRESS:
City
State
Zip
PHONE:
FAX:
Email:
Submit Form via fax or mail to:
Ship item to:
Suzanne Battaglia
Teresa Perez
International Myeloma Foundation
821 ­ 24th Ave. NW
12650 Riverside Drive. #206
Gig Harbor, WA 98335
No. Hollywood, CA 91607
253.858.7791
800.452.2873; (F) 818.487.7454

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