LIVE AUCTION & RAFFLE DONATION FORM
Donor Information Name/Organizations: ______________________________________________________________________________________ (exactly as it should appear in all event materials)
Contact Person: ___________________________________________________________________________________________ Address: ___________________________________________________________________________________________________ City: _________________________________________ State: _______________________ Zip Code: ____________________ Phone: ________________________ Email: _____________________________________________________________________ Signature: ___________________________________________________________________________________________________ Donation Information Value of Donation $ _________________ Description of Donation ___________________________________________________________________________________ (Please include any restrictions. Please make expiration date at least 1 year from the event date April 23, 2018).
Does a gift certificate need to be created?
yes
no
Please Select One: Donation will be mailed Donation will be emailed Pick-up donation If donation is to be picked up, please indicate date it will be ready ______________________________________ If Mailing Donation, Please Mail To: CC4C Attn: A Night to Uplift 12400 State Hwy. 71W, Suite 350-235 Austin, TX 78738
We hope to have all donations secured by March 22, 2017. In return for your generosity your name or company will be included on promotional material. CONTRIBUTION OPPORTUNITIES; please contact Alison Watters,
[email protected] or (818) 631-0323 or Jyotsna Arora,
[email protected], (301) 252-3776 to learn more and discuss benefits. PLEASE NOTE - Company logos/ads for program screen and book must be received by March 22, 2017. Logos and ads should be sent electronically as EPS or JPEG files, minimum 300 DPI. CC4C is a registered 501(c)(3) charitable organization.
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Thank you for donating
CC4C Benefitting the Rare & Undiagnosed
IN SUPPORT OF A NIGHT TO UPLIFT WE ARE ASKING YOU TO DONATE AN ITEM OR SERVICE FOR OUR AUCTION OR RAFFLE.