Touro College Jacob D. Fuchsberg Law Center
Auction Donation Form

19th ANNUAL GOODS & SERVICES AUCTION
To Benefit The Public Interest Law Fellowship Program
Wednesday, March 20th 2013 • 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 March 2013 Auction as described here:

Approximate retail value: $ 

Any restrictions to the donation must be listed here:



I am unable to donate an item, but would like to make a contribution. Please click here to make a donation online.