Please copy and paste into Word or an email and add your information and bid amounts. Email to fundraising@uucb.org to arrive no later than midnight, May 6. (Or print blank form, fill it out by hand, and turn it in or fax it to UUCB by Friday afternoon.)

Name __________________________________________________________________

Full Address _____________________________________________________________

________________________________________________________

Phone number(s) ________________________________________________________

Email __________________________________________________________________

Item Number ________ Item Name _________________________________________

Starting Bid $_______________ Maximum Bid $ _______________

Item Number ________ Item Name _________________________________________

Starting Bid $_______________ Maximum Bid $ _______________

Item Number ________ Item Name _________________________________________

Starting Bid $_______________ Maximum Bid $ _______________

Item Number ________ Item Name _________________________________________

Starting Bid $_______________ Maximum Bid $ _______________

Item Number ________ Item Name _________________________________________

Starting Bid $_______________ Maximum Bid $ _______________

Item Number ________ Item Name _________________________________________

Starting Bid $_______________ Maximum Bid $ _______________