Prize / Auction Donation Form 

PLEASE PRINT THIS PAGE AND COMPLETE ALL BLANKS AND PRINT NAMES LEGIBLY AND EXACTLY AS THEY SHOULD APPEAR IN PUBLICATIONS

Donor Name: ____________________________                 Contact Person: _____________________

Mailing Address: _________________________     City, State, Zip: ___________________________

Email: __________________________________     Phone: ________________ Fax: ______________

Address for Pick-Up: _______________________________________       Pick-up Date: ___________

Item(s) Donated: ___________________________________________      $ Value: _______________

Additional Notes: ___________________________________________________________________

Time/Exchange Restrictions: ___________________________________________________________

Deadline/Blackout Dates: _____________________________________________________________

The completed contribution form must be in the PAAC office by Monday, April 2, 2012 and all items must be at the office by Monday, April 9, 2012 in order to receive full recognition in printed materials.

Mail or email any brochures, details, and/or photographs that you would like to be used for the item description.  Email: info@ccpaac.org.

                        Check if applicable:

                                      Gift Certificate Enclosed

                                      Item Attached

                                      Donor’s confirmation and instructions to purchaser enclosed

 

The donor further agrees that the use of this gift is left to the discretion of PAAC.  This gift is clear of any further obligation or cost on the part of PAAC.

 

DONOR SIGNATURE: ____________________________________________ DATE: __________

 

Please sign and retain a copy for your records. PAAC Tax ID No. 38-3817365

Thank you for your contribution and your commitment to animal welfare. 

Your contributions are tax deductible.

 

  

 

Donate a silent auction item!