Donor Form
Humboldt State Athletics Donation Form - Tax ID #94-6001347 26th Annual Celebrity Dinner & Sports Auction Sat., March 26, 2011, at HSU’s Kate Buchanan Room A Benefit for Intercollegiate Athletics Scholarships Featured speaker Dwight Clark; Honored Guest Pam Martin
Business_____________________________________________________ Contact Name (please print)______________________________________ Donor’s Signature______________________________________________ Address______________________________________________________ City/State/Zip__________________________________________________ Business Phone________________________________________________
Humboldt State Athletics
E-mail Address__________________________________________________
Auction Historical Look Total Dollars Raised
Description of Donation__________________________________________
2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986
$200,000 $168,126 $217,099 $244,741 $217,549 $211,325 $215,350 $180,555 $136,268 $75,150 $90,521 $97,104 $113,270 $102,817 $112,396 $94,765 $107,950 $125,390 $110,615 $98,817 $97,859 $86,510 $59,805 $33,975 $9,449
Roger Craig Jim Harbaugh AC Green Paul Hornung Todd Christensen Misty May Jeff Fisher Michael Cooper Jim Otto Joe Frazier Terrell Owens Dave Casper Brent Jones Ronnie Lott Joe Theissman Dan Fouts Dusty Baker Steve Young George Blanda George Seifert Bill Walsh Steve Young Jim Plunkett Todd Christensen Joe Kapp
Total: $3.21 million These totals are official estimates.
_____________________________________________________________ _____________________________________________________________ Donor Stated Value $
Consult your tax preparer on tax deductibility of in-kind donations.
If you wish this form to serve as a gift certificate, please list restrictions for the gift certificate _______________________________ _________________________________________________________________ _________________________________________________Expires _______ Item needs to be picked up.
Use this form as a gift certificate. Gift Certificate enclosed (provided by donor) Item is being sent under separate cover. Other Return this form to:
Associate Athletic Director Intercollegiate Athletics Humboldt State University Arcata, CA 95521 Humboldt State University is a scholarship, Division II member of the National Collegiate Athletic Association (NCAA).
Contact Information: Phone 707-826-5959; Fax 707-826-5446 Top Two Copies - return to HSU Athletics; Bottom Copy - retain for your records. For HSU use only: Date received University Advancement A Office of President A
R R
Date entered
Thank you for your generous support of Humboldt State intercollegiate athletics!
Business_____________________________________________________ Contact Name (please print)______________________________________ Donor’s Signature______________________________________________ Address______________________________________________________ City/State/Zip__________________________________________________ Business Phone________________________________________________
Humboldt State Athletics
E-mail Address__________________________________________________
Auction Historical Look Total Dollars Raised
Description of Donation__________________________________________
2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986
$200,000 $168,126 $217,099 $244,741 $217,549 $211,325 $215,350 $180,555 $136,268 $75,150 $90,521 $97,104 $113,270 $102,817 $112,396 $94,765 $107,950 $125,390 $110,615 $98,817 $97,859 $86,510 $59,805 $33,975 $9,449
Roger Craig Jim Harbaugh AC Green Paul Hornung Todd Christensen Misty May Jeff Fisher Michael Cooper Jim Otto Joe Frazier Terrell Owens Dave Casper Brent Jones Ronnie Lott Joe Theissman Dan Fouts Dusty Baker Steve Young George Blanda George Seifert Bill Walsh Steve Young Jim Plunkett Todd Christensen Joe Kapp
Total: $3.21 million These totals are official estimates.
_____________________________________________________________ _____________________________________________________________ Donor Stated Value $
Consult your tax preparer on tax deductibility of in-kind donations.
If you wish this form to serve as a gift certificate, please list restrictions for the gift certificate _______________________________ _________________________________________________________________ _________________________________________________Expires _______ Item needs to be picked up.
Use this form as a gift certificate. Gift Certificate enclosed (provided by donor) Item is being sent under separate cover. Other Return this form to:
Associate Athletic Director Intercollegiate Athletics Humboldt State University Arcata, CA 95521 Humboldt State University is a scholarship, Division II member of the National Collegiate Athletic Association (NCAA).
Contact Information: Phone 707-826-5959; Fax 707-826-5446 Top Two Copies - return to HSU Athletics; Bottom Copy - retain for your records. For HSU use only: Date received University Advancement A Office of President A
R R
Date entered
Thank you for your generous support of Humboldt State intercollegiate athletics!
