Paderewski Symphony Orchestra

5844 N. Milwaukee Ave. Ste 201-206       Chicago IL 60646
773. 957 7777     fax 773. 594 0703

Fourth Ball of the Paderewski Symphony Orchestra
November 9th  2007
at the
Millennium Knickerbocker Hotel
163 East Walton Place Chicago, IL 60611

Silent Auction Prize Form

Yes! I would like to donate a silent auction prize to support
The Paderewski Symphony Orchestra in its worthy mission.

DONOR

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First Name                                                                                             Last Name

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Company/Organizations name

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Address                                                                         Telephone

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City, State, ZIP                                                                                   E-mail

DONATED PRIZE

Description:_______________________________________________________________________

Value: $_____________________ Suggested opening bid: $________________________________

Comments: _______________________________________________________________________

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Please address all correspondence to:
Mrs. Grazyna Maneykowska
4628 North Harlem Ave.

Harwood Heights, IL. 60706

Cel: 630. 640. 8481   archergold@sbcglobal.net

All donations to PASO are fully tax deductible

The Paderewski Symphony Orchestra is a Not-For-Profit-Cultural Organization
Tax exempt under section 501(c)(3) of the Internal Revenue Code
Federal - FIN 36-4008148
Charitable Trust and Attorney General - CO 01-028,310
State of Illinois - E 9949-8677-02

You can also fax this form to PaSO office at 773. 594 0703