2018 ASA Bull Roast Donation Form
Donor Contact Name
Your answer
Donor Company Name
Your answer
Phone
Your answer
Address
Your answer
Email
Your answer
DESCRIPTION OF ITEMS OR SERVICES DONATED
(please be detailed & specific):
Your answer
SPECIAL INSTRUCTIONS OR RESTRICTIONS:
(Please note that all donations of services or gift certificates should be valid from 3/24/18 and are good for the period of one year unless otherwise specified.)
Your answer
FAIR MARKET VALUE OF DONATION
Your answer
Delivery Method
QUESTIONS? Call the ASA Office at 443-272-1204 or email events@asa.run

PLEASE COPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL WITH ANY PROMOTION MATERIALS TO: Athletes Serving Athletes - PO BOX 4222, Timonium, MD 21094

Athletes Serving Athletes Inc. is an IRC Section 501(c)(3) organization and contributions to it qualify as charitable donations under IRC Sec. 170 of the Internal Revenue Code. The donor did not receive any good or services in exchange for the contribution. The Tax ID number is 26-1654652.

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