2019 Palette to Palate » Silent Auction Donation Form

Company or Individual Name*
Date
MM slash DD slash YYYY
Contact Name*
First Last
Contact Email
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Website*
Description of Donation*
Value of Donation*
Special Condition or Restrictions (if any)*
Phone
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Thank You for Your Generous Contribution!
All donations are tax deductible to the extent allowed by law.
A copy of the completed form will be emailed to you. Please retain a copy for your tax records.