Junior Board of Rock Island - Silent Auction Commitment Form
Our Mardi Gras Silent Auction is one of our primary sources of fundraising. This allows us to fill even more of the ever increasing requests we receive from organizations each year. Without the continued generosity of community-minded individuals and businesses like yours, we can not succeed! ALL funds raised are directly donated back to our Quad Cities community! If you are interested in donating goods, services, or financial support please fill out the form, submit and we will handle the rest.
Email address *
Donor Company Name:
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Donor Contact Name:
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Title:
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Phone:
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Address:
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City:
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ST:
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Zip Code:
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Description of item or service being donated:
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Restrictions of donated item(s): (Timeframe, number of participants, no children, etc.)
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Approximate Retail Value of Goods/Services: $
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Monetary Donation:
Submitted By: (Email Address)
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Send Copy To: (Email Address)
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Comments:
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Please fill out this form in its entirety. Completed forms must be received by January 9, 2018 to ensure proper recognition in our marketing materials. Your gift is tax deductible as provided by law.

Contribution Benefits: We will publicize your generosity both for and at Mardi Gras Charity Ball.

P.O. Box 6041 • Rock Island, IL 61204-6041 ~ www.JBRI.org ~ Federal Tax ID #36-2317621

A copy of your responses will be emailed to the address you provided.
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