Auction Donation Form

Delores T. Cooper 18th Annual Scholarship Banquet
6:00 p.m., Friday, June 19, 2026
Tysons Corner Marriott, 8028 Leesburg Pike, Tysons Corner, VA 22182

Thank you for your contribution to our silent auction. Proceeds will benefit scholarships for high school graduating seniors at First Baptist Church of Merrifield and the surrounding community and in creating an endowment for future scholars.

All donations must be received by Sunday, May 24, 2026

Donor: (As you wish to be identified in the Online Auction Brochure)

Contact Name:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number:

E-mail Address: *

Name of Item:

Approximate Fair Market Value (in USD):

Brief Description: (Be as descriptive as possible, i.e. brand, model, color, size)

AUCTION DONATION ITEM - EMAIL TO: dtcscholarship@firstbaptistchurchmerrifield.org OR MAIL TO: First Baptist Church of Merrifield • ATTN: Delores T. Cooper Scholarship Banquet Committee • 8122 Ransell Road, Falls Church, VA 22042

I have given the item to Event Agent
I will mail
I will email item (gift certificate or voucher)
I need Event Committee to create a certificate

Email:dtcscholarship@firstbaptistchurchmerrifield.org
Mail: First Baptist Church of Merrifield • ATTN: Delores T. Cooper Scholarship Banquet Committee • 8122 Ransell Road, Falls Church, VA 22042

Sponsored by:

8122 Ransell Road
Falls Church, VA 22042
Rev. Dr. Paul A. Sheppard, Pastor
“Moving from Great to Greater…Church Growth – Spiritually & Numerically”…Philippians 3:12-14

Donated item may be tax deductible. The item must be a gift in the eyes of the IRS; this excludes non-deductible items or services recognized as either a service or partial interest.

Auction Donation Form

Delores T. Cooper 18th Annual Scholarship Banquet
6:00 p.m., Friday, June 19, 2026
Tysons Corner Marriott, 8028 Leesburg Pike, Tysons Corner, VA 22182