KTNA Art Auction Donation Agreement
Thank you for contributing to this year’s art auction. Please complete the following form in its entirety.
Do not leave any entries blank. Write N/A if not applicable.
***Filling out and emailing your donation form electronically saves time and helps to avoid error while transferring your information. Thanks!
Donor Info
Donor Name:
Mailing Address:
Email:
Phone:
Artist Name (if different than donor):
Space for artwork information is on the other page of this form.
Please deliver Artwork by August 30th at 5pm to
KTNA Talkeetna
P.O. Box 300
13764 2nd Street
Talkeetna, AK 99676
Auction item(s) may be returned to donor upon request if not sold.
Would you like your item(s) returned? Check box: Yes or No
The donor agrees to the terms listed on the reverse side of this form. Donors are admitted to the event free of charge and are encouraged to bring any printed information about their artwork for display. If you are submitting pieces that hang or need special display, please supply all necessary exhibit items.
Your name:
Date:
Volunteer opportunities:
I would like to volunteer for the art show & reception on Sat, Sept 14th
I would like to volunteer for the art auction on Sat, Sept 21st
Thank you for supporting non-profit, community radio for the Susitna Valley!
Art Info
#1
Title:
Medium:
Description/Story:
Check one box:
Terms: 100% donation 25 / 75 Artist/KTNA Split 50 / 50 Artist/KTNA Split
Value: $
Minimum Bid: $ (will be set at 50% of value unless otherwise specified)
#2
Title:
Medium:
Description/Story:
Check one box:
Terms: 100% donation 25 / 75 Artist/KTNA Split 50 / 50 Artist/KTNA Split
Value: $
Minimum Bid: $ (will be set at 50% of value unless otherwise specified)
#3
Title:
Medium:
Description/Story:
Check one box:
Terms: 100% donation 25 / 75 Artist/KTNA Split 50 / 50 Artist/KTNA Split
Value: $
Minimum Bid: $ (will be set at 50% of value unless otherwise specified)
Important! Save your donor agreement form before sending. Email as an attachment to