27th Annual tacoma tennis ball & Auction friday, april 24, 2015 OFFICE USE ONLY ID # Cystic Fibrosis Foundation-Washington/Alaska Chapter 520 Pike Street, Suite 1075, Seattle, WA 98101-3909 ph: (206)282-4770 email: [email protected] fax: (206)283-8359 website: washington.cff.org/tennisball Donor Your contribution helps to support vital research efforts to cure cystic fibrosis. Person or Organization to Receive Recognition in Catalog as Donor of Item Donor Individual(s) Authorizing Donation (Mr./Ms.) Signature of Individual Authorizing Donation Address City, State, Zip Phone Email Individual to Contact for Item Pick-Up and/or Gift Certificate Redemption (if different from above) Phone Item Enclosed Will send by April 6, 2015 Available for pick-up on _____________. Enclosed Will send by April 6, 2015 Please prepare one on CF Foundation letterhead. I have indicated all specifications and restrictions below. Gift Certificate Estimated Value ($75 sug. min.) Donation - Brief Description Donation Date Additional Description and Details (Attach additional sheets if necessary.) Solicitor Restrictions, Expiration Date, Size and Other Specific Information (Please note that gift certificates will not be used until after April 24, 2015) Solicitor Phone Signature of Solicitor Date Is this item part of a package? Yes No All donations are tax deductible as permitted by law. If yes, name of package Please make copies of this form for your records.
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