October 13th - 18th, 2008
Televised LIVE on Berks Community Television

BE PART OF THE OCTOBERFEST EXCITEMENT
Donate an Item or Service from your Business for the Auction

Business: _____________________________________________________
Contact Person: _____________________________________________________
Address: _____________________________________________________
City: ____________________________
State: _________
Zip: _________________
Telephone: (H) _______________________ (W) _________________________
Best day/time
to reach me:
____________________________
Fax: ____________________________
Email: ____________________________
Web Address: ____________________________
Donated Item or Service:
Please provide a complete description to be used on air:

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

Value $ _____________
Special Instructions or Restrictions:
If Gift Certificate, Expiration Date ____________________________

Item will be available for pick-up by: __________________________

Please print this form and send it to:
BCTV - 645 Penn Street, Reading, PA 19601 Attn: Bill Martin or FAX: 610-374-3890
If you have questions or if you have problems printing this page,
please call 610-374-3065