NGWREF

2013 Fundraising Auction Donation Form

Required field are designated with a red asterix (*).

*Contact's first name
*Contact's last name
*Company
*Contact's phone number
*Contact's e-mail
 
Name of donor(s) as it is (they are) to appear in listing of donors
 
I/we agree to donate the following item(s) for the 2013 Fundraising Auction.
 
I/we approve the following description of this contribution for use in auction publicity.
   
*Estimated market value in U.S. dollars:

Expiration date (if applicable):

Other limitations on donation (if any):
Item to be shipped by
Item to be shipped directly to the Convention Center (NGWREF will forward instructions).
Item to be delivered on-site by the donor to NGWA staff .
Certificate to be provided by donor directly to NGWREF.
 

*I agree to provide the above donation.

 

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