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2017Auction Donation Form
FOPCON 501(c)(3) Internal Revenue Service EIN/Tax # 36-3456058

REMINDER: Please submit auction items no later than Sep 21, 2017

Name
Enter individual donor's name or name of donor company
Your answer
Contact Name
Contact person's name at the company or leave blank
Your answer
Address
Your answer
City
Your answer
State
Your answer
Zip
Your answer
Phone
Provide a number where we can reach you to follow up with you
Your answer
Email
Your answer
Item to be donated
Your answer
Estimated value
Provide estimated value of donated item, if known
Your answer
Item description
Narrative description including size, color, quantity, available dates, restrictions, expiration dates, etc. as applicable
Your answer
Return item if not sold? (Yes/No)
Check if providing
Notes (For Office Use Only)
Your answer
Submit
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