2014-BWB-Donation-Fo..

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Santa Barbara Channelkeeper
DONATION FORM
Blue Water Ball ~ April 5, 2014
DONOR CONTACT INFORMATION
DONOR/BUSINESS NAME: _______________________________________________________________________
CONTACT NAME & TITLE: _______________________________________________________________________
ADDRESS: ______________________________________________________________________________________
CITY/ZIP: _______________________________________________________________________________________
PHONE: __________________________________ FAX:_________________________________________________
EMAIL:___________________________________ DO YOU WANT TO BE ADDED TO OUR E-NEWS? Y
N
DONATION INFORMATION
ITEM NAME
DESCRIPTION
FAIR MAKET
VALUE
RESTRICTIONS:_________________________________________________________________________________
________________________________________________________________________________________________
DELIVERY METHOD
Please check the appropriate box(es):
□ Gift certificate provided by donor and is enclosed.
□ Gift certificate to be created by SB Channelkeeper. Expiration date: _________
□ Donated item delivered to SB Channelkeeper by donor.
□ Arrangements need to be made for donated item to be picked up by SB Channelkeeper.
□ We are unable to attend but still want to help. Please accept this monetary contribution
to SB Channelkeeper in the amount of $___________.
PLEASE MAIL OR FAX THIS FORM TO:
Santa Barbara Channelkeeper
714 Bond Ave., Santa Barbara, CA 93103
FAX: (805) 687-5635 EMAIL: [email protected]
If you have any questions,
please call Morgan Coffey, Development Director, at Channelkeeper: 805-563-3377 ext. 2
Santa Barbara Channelkeeper is a 501 (c) (3) non-profit organization, ID
Your donation may be tax deductible.
#91-2151460
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