2013 ILDFA Donation Form
Auction Will Be Started On Whitetail Exchange
Yes, I Would Like To Make a Donation
Donor name: ____________________________________________________________________
Address: _______________________________________________________________________
Phone: ____________________ Cell:________________________________________________
Email: _________________________________________________________________________
Description of Donation ___________________________________________________________
__________________________________________________________
_______________________________________________________________________________
Value of Donation: _____ ._____________________________________________________
Cash Donation ____________
Below please complete the pedigree for the semen or deer donations.
Deer______
Semen_______
Deer Name: _______________________Photo enclosed______
Deer Age: _______ Deer Score: _______Buck____ Doe______
CWD_____TB Accreditation #_____________ Bruc Accreditation #__________________
Please mail the completed form to: Dan Painter 7256 East 1500th Ave. Effingham, IL. 62401
or e-mail information and pictures to: justintinewhitetail@yahoo.com Phone: 217- 821-8880
Please mail by: August 1st, 2013
I’ll ship my donation to the Event Coordinator by August 10 th, 2012. You can donate
miscellaneous items and list them below:
_______________________________________________________________________________
_______________________________________________________________________________
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