27th AnnuAl tAcomA tennis bAll & Auction fridAy, April 24, 2015

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: washington@cff.org
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.