AOCS Foundation

Silent Auction

17th Annual Silent Auction Donation Form

You may also print this page and fax, or mail, it back to the address at the bottom of this form.

* = required

First Name *
Last Name *
Organization
Address *
City *
State/Province *
Postal Code *
Country *
Phone
Fax
E-Mail *
We will make a product donation to the Silent Auction.
Please include deadlines, expiration date, special features, and estimated value:

Shop for us. We will make a cash donation of $ (minimum of $175) to purchase a Silent Auction item.
For CAPTCHA purposes, please enter, as a number, the sum of thirteen and five.

Donations to the AOCS Foundation are tax-deductible to the extent provided by law. The AOCS Foundation is a Section 501(c)(3) organization under the Internal Revenue Code.

Please press the 'Submit Form' button to complete.

Amy Lydic
AOCS Foundation
2710 S. Boulder
Urbana, IL 61802-6996 USA
Phone: +1-217-693-4807
Fax: +1-217-693-4852
E-mail: amyl@aocs.org

Thank you for your support!

For more information, contact Amy Lydic by email amyl@aocs.org or by mail to: AOCS Foundation, P.O. Box 17190, Urbana, IL 61803-7190 USA, phone: +1 217-693-4807; fax: +1 217-693-4852.