Holiday Mania 2019 Donation Commitment Form


Holiday Mania is an annual prize drawing fundraiser for American Structurepoint's on-going community service efforts. Some examples of our efforts can be seen here: https://www.structurepoint.com/company/responsibility

Please provide your information below regarding your donation item and your contact information. Thank you for your support!
Donor Name
Your answer
Organization Name
Your answer
Mailing Address (please include zip code)
Your answer
Phone Number
Your answer
Email Address
Your answer
Please provide a brief description of the item you are donating:
Your answer
Please provide approximate retail value:
Your answer
Thank You! We appreciate your Support!
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