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Auction Item Donation Form
*Business:

*Contact Person:

*Address:

*City/State/Zip:

*Telephone: *Fax: *Email:

*Auction Item Donated:

*Description:

*Market/Retail Value of Donation: $


[*Required fields]

For further information contact: Patty Whitehead-Valdes/Phone: 305-670-6500 x268/Fax: 305-670-6516
Email: valdesp@elderaffairs.org

Alliance For Aging, Inc
9500 South Dadeland Blvd, Suite 400
Miami, FL 33156
Main: 305-670-6500
Elder Helpline:
305-670-HELP(4357) TTY:1-800-96-elder(35337)