I #:___________

 

Office Use

 

D #__________

 
                                                           

 

 

 

TRAVEL AUCTION DONOR FORM

On-air and Online Dates: January 16-18 & 23-24, 2009

 

PROPERTY NAME _________________________________________________________________

STREET ADDRESS_________________________________________________________________

CITY________________________STATE________COUNTRY__________________ZIP_________

PHONE_____________________________ FAX__________________________________________

CONTACT NAME _______________________________________

E-MAIL _______________________________________________

WEBSITE   www.________________________________________

 

NUMBER OF PACKAGES:  q 1        q 2        q 3        q 4        q 5        q HOW MANY?_______

 

PER PACKAGE DETAILS

# OF ROOM NIGHTS ____                 # OF PERSONS____                 ROOM TYPE_______________

EACH PACKAGE VALUE IN US DOLLARS: $________   

EXPIRATION DATE_____________    (must match expiration date on certificate - we recommend December 31, 2009) 

ARE TAXES INCLUDED? ___________If so, what do you estimate they will be? _____________

                                                                                                                                          

LIMITATIONS:  (check one of the following)

 

q valid any night      q valid weekends only (FRI-SAT)      q valid weeknights only (SUN-THURS)

 

BLACKOUT DATES: (be specific):

 

___________________________________________________________________________________

 

EXTRAS INCLUDED: (check all that apply)

q Breakfast       q Lunch      q Dinner     q Other _________________________________________

 

____________________________________________________________________________________________

 

 

POINTS OF INTEREST (If you have participated in the past, we have this on file):

 

 

 

 

 

                                                                                                                                                                                                           

 

 

PROMOTIONAL BREAKDOWN

Per Package Value

On-Air Promotion

Web Promotion

$200       -     $499

$500       -     $999

      $1,000      _     $1,999

      $2,000 +

20-30 seconds/total airtime

30-40 seconds/total airtime

40-50 seconds/total airtime

50-60+ seconds/total airtime

 ALL ITEMS will be listed on our website, www.wcny.org, for simultaneous On-air and Online bidding.

                        

                                                                                                                                                           

 

                                                                                                                                                           

 

Text Box: CHECKLIST- PLEASE BE SURE YOU’VE ENCLOSED THE FOLLOWING:

 

 

q COMPLETED DONOR FORM

q PRIZE CERTIFICATE(S)

q ON-AIR VISUALS (photos, brochures)     Please Note: We have this on file for past participants

 

 

MAIL THIS COMPLETED FORM AND REQUIRED MATERIALS TO:

 

  Auction Office

  WCNY Connected

 506 Old Liverpool Rd.

                                                                   Liverpool NY 13088

 

PHONE: 315-453-2424   FAX: 315-451-8824

EMAIL: Sara_Strong@wcny.org

 

 

 

 

 
 
Thank you for your support of WCNY Connected
Public Broadcasting in Central New York