The "Angels Wings" Silent Auction
Registration Form (All fields are required unless marked with a "*".)
Yes, my organization would like to donate an item to the ACTE Angels Wings Silent Auction.
First Name
Last Name
Informal Name
Business Title
Organisation
Address
Address 2*
City
State/Province*
Zip/Postal Code
Country
Telephone
Facsimile*
E-Mail 
Title of Product or Service:
Suggested Value of Product or Service:
Description of Product or Service:

Note: If you would like to keep a copy of this registration please
print using your browser's print feature before submitting this form.

You may call 1-800-375-ACTE for questions or more information. Outside U.S./Canada please call 1-262-763-1902.

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