Silent Auction Donation Form 
4th Annual Halloween Ball - Chester County History Center
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Email *
Business Name *
Contact Name (First & Last) *
Street *
Street 2
City *
State *
Zip *
Contact Email  *
Contact Phone *
Name to appear on bid item and program material (listed as) *
Item(s) Description  *
Item (s) Fair Market Value
Check Here to arrange Item(s) pick up *
Please contact Pachy Banks-Cabral, Director of Development if you have any questions at pbanks@mycchc.org
A copy of your responses will be emailed to the address you provided.
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