2017 HPAL Gala Donation Form
This form helps HPAL track of donations and fully acknowledge the donor/business for the donation. Thank you!
HPAL Dancing With the Stars 2017
Item/ Items Donated *
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Value of Donation *
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Donor First Name: *
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Donor Last Name: *
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Business Name: *
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Full description of donation: *
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Business Street Address: *
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City: *
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State: *
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Zip Code: *
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Contact email address: *
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Contact phone number: *
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Please indicate the arrangements for the delivery of your donation (please check below): *
Required
Please tell us the HPAL Contact person that helped with this donation. Thank you!
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