August 20, 2013
From 6pm to 10pm
Tickets: $150 each







AUCTION ITEM DONATION
Thank you for supporting people living with epilepsy
and their families in our community!


 DESCRIPTION OF DONATED ITEM(S) 
Item Donated:
Estimated Retail Value:
Description of item(s):

Epilepsy Toronto will get back to you about how the item will be picked up or delivered.


 DONOR'S CONTACT INFORMATION 
Company Name:
Contact Person:
Address:
City:
Province:
Postal Code:
Telephone:
Fax:
Email: