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Product Purchase Form
Product Purchase Form
Organization Information
Organization
Name
Email Address
Website
Phone
Year Established
Federal Tax Exempt No.
Address
Address 2
City
State/Zip
Primary Contact Information
First Name
Last Name
Email
Phone Number
Event Details
Event Name
Event Date
Event Location
Event Sponsor
Event Description
Has your organization worked with us before?
Yes
No
Donations will be used for:
Live Auction
Silent Auction
Raffle
Door Prize
Other
Product Details:
Please list your proposed donation products by putting a quantity in the spaces below. Product based on age range.
Male
Female
2-3
4-5
5-7
8-10
Teen
Adult
Comments
Date Needed
Earliest Pick up Date
Pickup Details
Pick-up
Ship (own arrangements)
Request Ship Quote
NOTE: If you need your items shipped, please provide your zip code. Payments must be made in-full before we will make arrangements to release product to driver/shipper.
Referred By:
Attach Required Files:
Tax Certificate, IRS Status Letter, Promotional Collateral
Contact Information
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