Touro College Jacob D. Fuchsberg Law Center
Auction Donation Form

16th ANNUAL GOODS & SERVICES AUCTION
To Benefit The Public Interest Law Fellowship Program
March 24, 2010 • 6:00 p.m. - 8:00 p.m.

Fill in the information below and click the submit button
Click Here to download the PDF version of this form

Name
 
Firm/Business (if corporate donation)
Address
 
City State Zip
 
Telephone (xxx-xxx-xxxx ext. xxxx)
 (h)    (w)  
Email

Contact Person For Pick up of Item

 will donate a good(s) or service(s) to the April 2009 Auction as described here:

Approximate retail value: $ 

Any restrictions to the donation must be listed here: