Absentee Bidder Form

SDC Wine Auction Absentee Bidder Registration

I WOULD LIKE TO BE AN ABSENTEE BIDDER – REGISTRATION FEE IS $25

If registration fee is paid by check, please also include credit card information below that may be used if absentee bid is successful at the auction – no charges will be made until the winner is notified. Checks should be made out to β€œThe Shepherdstown Day Care.”
Absentee bids will be honored in the order received.
Absentee bid winners will be notified by November 16th, 2007.

 (circle card type)      Mastercard               Visa                  American Express 

Account #____________________________________   Exp. Date:_________

Name: _________________________________________________________

Address: _______________________________________________________

City, State, Zip: __________________________________________________

Email: _________________________________________________________

Daytime Telephone Number: _______________________________________
 

Live Auction

Silent Auction

Item Number

Item Description

Maximum Bid

        $
        $
        $
        $
        $

Signature: _____________________________________________________

All registrations are non-refundable.
All proceeds benefit The Shepherdstown Day Care, which is a 501 (c)(3) non-profit (Tax Exempt #55-0539244)

Download a printable copy of the Absentee Bidder Registration Form
 
Return form by mail or fax to The Shepherdstown Day Care, Attn: Wine Auction Committee, P.O. Box 388, Shepherdstown, WV 25443; phone/fax (304) 876-6923; email leriot@aol.com