2017 Auction Donation Agreement
Confirmed Item
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Description
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Please list any restrictions on the auction item:
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Expiration Date
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Fulfillment instructions:
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Contact Name for Auction Winner:
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Contact Email:
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Contact Telephone:
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Market Value:
Please list an estimated value to comply with IRS regulations
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Courtesy of:
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Please check appropriate box:
Donor Contact Information
First Name:
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Last Name:
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Title:
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Company:
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Address:
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City:
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State:
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Zip:
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Telephone:
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Email:
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Your name if different than Donor Contact Name above
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Your email if different than Donor Contact Email above
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Room to Grow Contact Name:
Please indicate the name of the person who reached out to you for this donation
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