Arts Council of Brazos Valley and A Circle of Ten’s
Rural Arts Initiative Network
2009 FUNDERS’ FORUM - SILENT AUCTION AGREEMENT
1.
padraic@acbv.org circleof10@circleof10.org
Sept 25. Donors
located within a fifty (50) mile radius of


PLEASE
COMPLETE AND RETURN WITH DONATIONUnsold Art: By
Return to Me In BV Area to
Attn.__________________________________________ Date:______
Cell:________________
I will pick up
In
ETexas to C10’s Arts Initiative Leader: Picked up by:___________________
Do
not return Name:_________________________Cell::__________________ Date:_______ Cell:______________
Or
Mail to 801 Van Zandt CR 4929 Ben Wheeler, TX 75754 Post
Forum Notes:
Returned by:________________
Artist
Name:
Date
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Business Name:_______________________________________Phone:________________________________
Address:
City: State:
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E-Mail:
Web Site:
Description of donation:____________________________________________
Fair Market Value:$_________
Name of Art: Medium:
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Date work completed: Dimensions:
____You
have permission to use my company name in promotions for Forum/Art efforts.
X Artist/Agency
Rep Signature:______________________________________Date:_______________________
Revised KH, CB FUNDERS’
FORUM PARTICIPATION? Donor Artist/Art Agency
sponsors are invited to participate in the Funders’ Forum, October 9 per the value of art/gift at rates listed
at www.etvv.org Indicate Participation: A-- Local Art
Agency/Initiative can designate attendees to Forum OR B--
I ___will ___will not attend Forum, Oct 9;
OR C-- I will not attend, but “gift the registration” to the
following: Name
of Person(s) attending Forum:______________________________________________________________
Address:_____ _____________________________City________________________________Zip______________
Phone:____________________________Cell________________Email:____________________________________