PRIZE / GIVEAWAY DONATION FORM Yes, we would like to donate an optional door prize or giveaway to the 2015 NY Bridal & Quince Expo

(2015 NY BQE). Please email this form to connect@nybqe.com no later than February 15, 2015.

Please choose one (1). For each additional donation, please fill out a separate Form.

____ DOOR PRIZE ____ GIVEAWAY

Company Name:

Main Contact:

Email Address:

Telephone Number:

Description of item or service (and quantity) to be donated:

Dollar Value of item or service:

AUTHORIZATION: By signing below, I agree to offer this prize and to honor delivery of this prize to the

winner(s), in accordance with contest rules. The 2015 NY BQE is allowed to publicize this award in all

electronic and/or in print marketing materials.

Signature & Date

Name & Title (Please print)