The Victory Center for Autism and Behavioral Challenges

We wish to donate the following item(s) to The Victory Center for the 9th Annual Starry Night Gala’s Auction on March 7, 2009. We realize that items valued at less than $100 will be grouped. Printing deadline requires that items be received by February 2, 2009.

Item
Description (Please include all identifying information including model number, etc.)

Retail Price
Method of Delivery
Company/Name of Donor
Mailing Address
City
State
Zip
Telephone
Fax
Cell Phone
E-mail Address

Download and Print Form

Make checks payable to The Victory Center.
If you wish to mail this form with your credit card or check donation, please send to:

The Victory Center
18900 NE 25th Avenue
N. Miami Beach, Florida 33180
Phone: 305-466-1142 ext. 205
Fax to: 305-466-1143

For additional information, please contact Michele Pisano at assistant@thevictoryschool.org

Please Note: Should these items not be able to be utilized for the gala auction, they will be utilized for a future fundraising event (s).

Back to Starry Night Gala Page