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Scholarship Silent Auction - Donation Form

Thank you for offering to donate an item to this year's Silent Auction at RetailNOW, benefiting the RSPA Scholarship funds. Please complete and submit this form. RSPA will accept donations until July 2, 2012.

Name: *
Company: *
Company Address: *
City: *
State: *
Zip: *
Phone: *
Email: *
Type of Donation: *
Item Description: *
What is the approximate value of the item? *

Shipping information:

Please ship all items to RSPA to be received no later than July 2, 2012.

RSPA Silent Auction
ATTN: Mary Routier
10130 Perimeter Parkway, Suite 420
Charlotte, NC 28216