WELLS ROTARY CLUB AUCTION AGREEMENT

The undersigned hereby agrees to donate the item(s) specified below to the Wells Rotary Auction to be televised by Time Warner Cable on Thursday May 19, 2011 - 4:30 to 10:30 pm.  It is agreed the copy supplied herein may be modified or edited to abide by broadcast standards.

NAME OF FIRM __________________________________________________

MAILING

ADDRESS_______________________________________________________

                     Street / PO Box No.                                                                   Town/State/Zip

TEL. NO.__________________________EMAIL_________________________

ITEM TO BE DONATED_______________________________________________________

VALUE $__________________ ($50 MINIMUM VALUE)

_____ Certificate or item be provided by donor

_____ Wells Rotary please make certificate for item described above

 Authorized by (Signature)____________________________________________

PREFERRED AD COPY TO BE USED ON AIR (35 WORDS OR LESS, PLEASE)

TO BE INCLUDED IN THE AUCTION THIS FORM MUST BE FILLED OUT COMPLETELY AND RETURNED WITH ITEM NO LATER THAN

 April 27, 2011

For Information and Item Pick-Up:

Please call Margaret Chigas at 207-646-4282

Wells Rotary Club - PO Box 203 - Wells, ME   04090

www.wellsrotary.org