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        Auction Donation Form

Please complete this form, print it out and then send it with the donated item to:

Kim Wells,

 6724 Flamewood Dr.,

 Arlington, Texas, 76001

. If you want to bring the item with you to the Conference,

email Kim Wells at This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

 or call her at 817-375-0037.

                If the item is handmade or signed, please indicate this.

Name ________________________________________

Address ______________________________________

 City _____________________  State _____   Zip________

   Country _______________

             Phone ____________________

  Description of Item

 Special Instructions

 Estimated Value

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