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Jackets and Jeans Donation Form
3RD ANNUAL FUNDRAISER PARTY
6 — 11 PM SATURDAY JANUARY 26, 2019
MICHAEL’S ON EAST
LIVE MUSIC - REVEREND BARRY & THE FUNK
SILENT & LIVE AUCTIONS RAFFLES

Team Tony Cancer Foundation
3562 South Osprey Ave, Suite C, Sarasota, FL 34239
Team Tony Cancer Foundation, Inc., is a 501(c)(3)

Email address *
DONOR/COMPANY NAME (AS IT SHOULD APPEAR IN THE PROGRAM): *
Your answer
CONTACT PERSON NAME (NOT LISTED IN THE CATALOG): *
Your answer
DONOR WEBSITE ADDRESS (OPTIONAL):
Your answer
ADDRESS: *
Your answer
PHONE: *
Your answer
DONATED ITEM INFORMATION (One item per form please)
ITEM NAME: *
Your answer
ITEM DESCRIPTION (PLEASE BE SPECIFIC): *
Your answer
RESTRICTIONS (I.E., BLACKOUT DATES, EXPIRATION DATE, ETC): *
Your answer
RETAIL VALUE: *
Your answer
DOES DONOR REQUIRE A TAX LETTER? *
GIFT CERTIFICATE REQUIRED? *
TT MAKES GIFT CERTIFICATE? *
DONOR TO DELIVER? *
WHERE IS ITEM STORED? *
Your answer
Additional Comments:
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