Twin Cities Media Alliance 2014 Auction Donation Form
Making a donation to TCMA’s upcoming silent and online auctions is a great way to support our work - including our citizen journalism classes and media skills workshops, and our award-winning local news website, the Twin Cities Daily Planet.
Please complete and submit this form by September 17, 2014.
Jeremy Iggers, Twin Cities Media Alliance, 2600 E. Franklin Ave., Suite 2, Minneapolis MN 55406
Questions? Contact me @ Phone: 612.436.9186 • Fax: 612.692.8563 • auction@tcdailyplanet.net.
TCMA is a non-profit 501(c)(3) tax-exempt organization. Tax ID # 42-1670009
*
(Please print name exactly as you would like it to be acknowledged.)
Your answer
What is the item that you would like to donate? *
(Please provide details or send a brochure or other information that fully describes your item)
Your answer
Name of Organizational Contact authorizing gift: *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
phone
Your answer
email address
Your answer
VALUE OF DONATION *
TCMA needs this value for reporting purposes. Thank you!
Your answer
Restrictions and special instructions
Your answer
Pickup / Delivery instructions *
Signature (or printed name) of person authorizing donation. "I obtained no goods or services in exchange for this donation." *
Please enter name and date.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service