Museum Association
of Arizona

Building a Vital Museum Community

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Silent Auction Donation Form

(Please use a separate form for each item or group of items, i.e., a gift basket would be a group.)

Contact Person: _____________________________________________________ 

Institution: ________________________________________________________ 

Individual: ________________________________________________________

Address: __________________________________________________________

City, State, Zip: _____________________________________________________

Phone: ____________________ E-mail: _________________________________

Item: ______________________________________________________________

Suggested Retail Value: ________________________________

_______Item enclosed

_______I will the bring item to Pueblo Grande Museum by 8:30 a.m. on March 23rd 

_______I need to have item picked up, call me at _______________________ 

Please email or mail this form to either:

Michelle Prosser
Michelle.Prosser@mesaartscenter.com

Janice Klein
Museum Association of Arizona
PO Box 63902
Phoenix AZ 85082 312-310-9798 
azmuseums@gmail.com

Museum Association of Arizona

P.O. Box 63902,
Phoenix, Arizona 85082

azmuseums@gmail.com

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