TPAF Auction Donor Form

Texas Physician Assistant Foundation
Auction Donor Information Form

We are already looking for donations for the upcoming 2010 TPAF Auction that will be held at the 35th Annual Spring CME Conference in Houston.  If you would like to make a donation to the auction, pelase fill out the form below and send it via email, fax or mail to TAPA.

Previous donations have been:  sports memorbilia, handcrafted items, wine, photography, liquor, jewelry, event tickets, vacation packages, and fine art.


 
Yes, I would like to make a donation to the Foundation Auction *


 
Name of Donor(s): *
Address orf Donor(s) *


 
Item Description:
Phone Number: *
Email: *


 
TAPA Member? *
Yes
No


 
Previous TPAF Donor? *
Yes
No