Kenosha Rotary Foundation, Inc.
Annual Rotary Radio Auction
Post Office Box 577, Kenosha, WI 53141-0577
Phone (262) 657-7500 (during Rotary Auction week)
DONOR SOLICITATION FORM
(To be filled out by Rotarian.  A list of current members of Kenosha Rotary is at WWW.KENOSHAROTARY.ORG)
 
Rotarian:
First Name:
 
Last Name:
 
Donor Information:
Business Name:_____________________________________________________________________________
 
Phonetic Spelling of Business Name:___________________________________________________________
 (to help in pronunciation during broadcast)
Business Contact:        First Name:__________________ Last Name:_________________________________
Address 1:__________________________________________________________________________________
 
Address 2:__________________________________________________________________________________
 
City:_______________________________________________ State:________ Zip Code:__________________
 
Phone:        (        )               -                 ext.                   Alternate Phone:     (        )_________________________
 
E-Mail Address:_____________________________________________________________________________
Donor wishes to be listed as “Anonymous”  [   ]
 
 
Retail Value ($100 minimum): $
 
Reserve: $
 
 
 
 
 
 
Description of Donated Item(s):
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Expiration Date or Special Conditions:
 
 
 
 
 

More than one item?     Yes           No    
Number of Items
 
Total Value $
 

 Note: Please provide information, ad copy, brochure, etc. that will be helpful to describing the item to listeners during the radio auction.
 For Auction Team Use Only:

 
Category: ART   ENT   FOOD   FRND   LDG   MER   OTH   SVC   SPON   SPRT   TKTS   TLS   TRVL
YEAR:
 
BOARD:    ART   FOOD   ART   HRLY   LDG   PREM1   PREM2   SPRT   TKTS   TLS
DAY:
 
TIME:
 
 
 
PICK UP LOCATION: 
AMCCU   KEMPER   DONOR   OTHER
 
ITEM ID(s):
 
 
 
 
 
 
 

Participant Warrants: that they are the true and lawful owner of and has full power to contribute the above merchandise; that the merchandise will be as described and will be transferred to the Rotary Club of Kenosha or to the winning auction bidder as set forth hereon and that any and all warranties as to the merchandise shall accrue to and be enforceable by the successful bidder and or Rotary. Contributors agree to indemnify and hold harmless the Kenosha Rotary Foundation, Inc., the Kenosha Rotary Club, WLIP Radio, Kemper Center and Happenings Magazine, from any and all claims and damages arising from the breach of any of the foregoing warranties and as a consequence of donating the above described item(s).