2018 Summit Raffle Item Donation Form
Thank you for supporting the Wisconsin Alliance for Women's Health by donating an item(s) to the raffle being held at the 8th Annual Wisconsin Women's Health Advocacy Summit on March 12, 2018 in Madison.

We anticipate 300 attendees to join us for this one-of-a-kind convening to help individuals be informed, involved, and inspired to advocate for Wisconsin women's health, safety, and economic security. To learn more about this event, visit www.wiawh.org/wwhps.

If you have any questions or need additional information, please contact WAWH at (608) 251-0139 x1 or sara.finger@wiawh.org.

Donor Information
Company / Business
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Contact (First and Last Name) *
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Address
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City
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Zip Code
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Phone Number
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Email Address *
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Item Information
Item Description
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Fair Market Value
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Indicate how WAWH will receive your item(s)
Additional Notes About Your Donated Item(s)
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Submit
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