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Purim Ball and Auction of the Jewish Primary Day School of the Nation’s Capital Sunday, March 22, 2009 at the National Building Museum

JPDS Auction Donation Form Donor should retain a COPY of this form for their records

A.

NAME OF CONTRIBUTING BUSINESS OR INDIVIDUAL DONOR: ___________________________________________________________________________________ DONOR MAILING ADDRESS:

CONTACT NAME: ________________________ (for arrangements)

________________________________________ ________________________________________ FAX: ___________________________________

CONTACT PHONE:________________________ EMAIL: _________________________________

I would like to help the JPDS community raise funds to support scholarships and educational programs at the only Jewish day school in the nation’s capital by making the following donation:

DESCRIPTION OF DONATED GOODS OR SERVICES FOR AUCTION Please describe your item in detail (color, quantity, size, number of people, etc.), as this description will be used in the auction catalogue. ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ \

(Please continue on a separate piece of paper if you need more space for your item description)

Donor stated retail value (required)

RESTRICTIONS (Please state any special limitations or expiration dates)

$ _______________________

___________________________________________________

 My donated item/certificate is enclosed with this form. (Brochures, menus, photos, etc. are welcome and will be displayed on auction night.)

 JPDS should create a certificate for use at the auction.  My item/certificate will be delivered or mailed to JPDS office by ________________ (specify date).  JPDS should arrange a pick up. My item/certificate will be available on or after ______ (specify date).

B.

Purim Patron DISCOUNT Advertising Rates!

   

$250 Full Page (4 5/8” wide x 6 ½” high) - 38% Savings $180 Half Page (4 5/8” wide x 3 ¼” high) - 28% Savings $100 Quarter Page (2 ¼” wide x 3 ¼” high) - 44% Savings $ 50 1/6 Page (2 ¼” wide x 2 1/8” high)

Please be sure to complete all relevant section(s) on side two, and return this form by February 23, 2009.

JPDS is a 501(C)(3) organization and a fully accredited school, contributions to which may be tax-deductible. JPDS Tax ID Number is: 52-211-5715. Please consult your own tax advisor for further information about your gift.


C.

Display Ad Artwork Insertion  Camera-ready artwork is enclosed with this form.  I have emailed my ad to purimball@jpds.org  Please design my business ad. The text is as follows. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________

I am not interested in donating an auction item, but I would like to take out a business advertisement.

General Business Advertising Rates □ $400 - Full Page (4 5/8” wide x 6 ½” high) □ $250 - Half Page (4 5/8” wide x 3 ¼” high) □ $180 - Quarter Page (2 ¼” wide x 3 ¼” high) □ $100 - 1/6 Page (2 ¼” wide x 2 1/8” high)

DEADLINE FOR INCLUSION IN THE PURIM BALL CATALOGUE AND JOURNAL:

February 23, 2009 Donor should retain a COPY of this form for their records. Please mail completed forms to: Jewish Primary Day School of the Nation’s Capital Kay and Robert Schattner Center 6045 16th Street, N.W., Washington, D.C. 20011

QUESTIONS? Please contact the JPDS Development Office Phone: 202-291-5737 (ext. 109) Fax: 202-291-9750 Email: purimball@jpds.org Online at: www.jpds.org

For internal use only: Auction Donations: Item #: ___________________ Promotional Materials Needed: _________________ Date Item Received: __________________________ Item Received by: ____________________________

Advertisements: Payment Amount: _________________ Payment Received on: ______________ Artwork Received by: ______________ Artwork Inserted into Journal: ________

JPDS Internal Contact____________________________________


2009 Purim Ball Auction Donation & Ad Form