Charity Sponsorship Request Form

Event Name *
Charity Purpose *
Date of Event *
Time of Event *
Location Information *
Name of Location Street Address City State Zip Code
Type of event - (Ball, Dinner, Ranch Party, etc.) *
Dress Code of Event *
Expected Number of Participants *
Contact Name * First Last Contact Person's Title
Contact's Email *
Contact's Phone Number *
If different than contact person, list any individual(s) who will be coming to the show room to pick up jewelry, their association with the charity, phone number and email. *
Please list referring customer name(s) and general purchase history of customer(s) associated with the charity.
Bachendorf's employees, if any, associated with the charity.
Please list any history in which this organization has participated in Bachendorf's consignment auctions.
Jewelry Information Average price point How many pieces of jewelry are to be selected?