Catholic Commission of Wayne, Ashland and Medina

Pope St. John Paul II, Proclaimer of Justice

Gala Dinner & Silent Auction

Friday, April 20, 2018

St. Stephen Parish, 44 Britton St, West Salem, OH 44287

Social Hour and Silent Auction begin at 6:00 p.m. Dinner begins at 7:00 p.m.

2018 Silent Auction Gift Form

Deadline for Return: Friday, April 6, 2018

(See other side of form to also consider becoming a Dinner Program Book Advertiser)

Type of Donation (Please check the appropriate box.)

Basket Item Gift Card / Certificate

Title of Basket / Description of Donation: ______

Value: $ ______

Company: ______

Contact Person/Donor: ______Phone #:______

Address: ______

City: ______St: ______Zip: ______

E-mail: ______

Delivery Instructions (Please check the appropriate box.)

Donation mailed on ______(date).

Donation will be delivered to the Commission by ______on ______(date).

Donation should be picked up at______on ______(date).


All donations are tax deductible. Please return this form with your auction item donation.

Thank you for your generous support! Keep a copy of this form as your tax receipt.

Catholic Commission of Wayne, Ashland and Medina

Pope St. John Paul II, Proclaimer of Justice

Gala Dinner & Silent Auction

Friday, April 20, 2018

St. Stephen Parish, 44 Britton St, West Salem, OH 44287

Social Hour and Silent Auction begin at 6:00 p.m. Dinner begins at 7:00 p.m.

2018 Program Book Advertisement Order Form

Deadline for Return: Friday, April 6, 2018
(See other side of form to also consider becoming a Silent Auction Item Donor)

Please check the box next to your ad choice:

□ Back Cover (8 ½” x 11”) $ 300

□ Full Page (8 ½” x 11”) $ 200

□ Half Page (8 ½” x 5”) $ 125

□ Quarter Page (3 ½” x 5”) $ 75

□ Business Card (2” x 3 ½”) $ 40

Contact Name: ______Fax #:______

Address: ______

City: ______State:______Zip:______

E-mail address: ______

E-mail your advertisement with this form to Jeff Campbell at:

Please submit your ad as a JPEG image or in a Microsoft Office Publisher document. If this is not possible, please contact us and the Catholic Commission can assist with your ad design. Checks can be made payable to: Catholic Charities Corp.

Thank you for your generous support!