Sample Donation Form

Date

Name of Donor

Indicate how Donor would like to be listed in the event program

Address

Phone

Is there a gift certificate?

YES NO

If YES, please include with Donor Sheet

PLEASE INCLUDE ALL PERTINENT INFORMATION AND DESCRIPTION FOR THE RAFFLE BELOW:

Physical Item (Note size, color, artist, etc.)

Service/Trip (Note dates, location, restrictions, etc.)

Estimated value of item:

All donations must be received by:

Solicitor's Name:

Please e-mail all raffle information to:

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