Immanuel Evangelical Lutheran Church and School is holding a silent auction and 5K run/walk on October 9th-11th, 2015 to raise funds for the school. The submission form requests information from donors such as their name, address, phone number, email, details of the donation, estimated value, whether they would like a tax receipt, and if a poster can be displayed at their business to promote the event. Donations and completed forms can be sent to the church address or picked up from donors.

1. Immanuel Evangelical Lutheran Church and School
N8092 County Road AY
Mayville, WI
Phone: 920-387-5363
Rev. Douglas Zahner, Pastor
Silent Auction / 5K Submission Form
Immanuel Lutheran School – October 9th
– 11th
, 2015
Donor Name
(For promoting): _________________________________________________
Contact Name: _________________________________________________
Address: _________________________________________________
_________________________________________________
Phone Number: _________________________________________________
Email Address: _________________________________________________
Donation:
For Silent Auction _________________________________________________
For 5K Run / Walk _________________________________________________
Estimated Value: _________________________________________________
Financial Donation
(Amount): _________________________________________________
Gold Donor (See attached letter): Yes / No
Tax receipt requested (circle one): Yes / No
Can we put a poster up at your business: Yes / No
Please contact Jason Schneider at 920-562-9940 or schneider2492@gmail.com with any questions.
We are available to pick up this form and your donation from you at your convenience or you may
send both to: Immanuel Lutheran School
N8092 County Road AY
Mayville, WI 53050
Thank you for your support!