Heart & Hand Auction Donation

Item donated:	__________________________________________________________________________ __________________________________________________________________________
Donation value:	__________________________________________________________________________
Donor name:	__________________________________________________________________________
Address:	__________________________________________________________________________
Phone number:	__________________________________________________________________________
Email address:	__________________________________________________________________________

Donations are requested by February 1, 2004. Print this page, fill it out and return it to the Church office or mail it to:

Eliot Unitarian Chapel
Heart & Hand Auction
216 East Argonne
Kirkwood, MO 63122

Thank you!