Donation Agreement
Donor Last Name: *
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Donor First Name: *
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Catalog Acknowledgement:
(If different from above)
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Mailing Address:
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Phone Number:
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E-mail Address:
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Website:
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Business Contact Name and Number:
(if different from above)
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DONATED ITEM
Title:
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Description:
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Value:
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Restrictions of Use, if any:
(i.e. blackout dates, expiration dates, exclusions, etc.)
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