Annual Golf Outing
Raffle & Prize Donation Form
Name: ______________________________________
Phone: ______________________________________
Email: ______________________________________
YES! I support Kane County Chiefs of Police
Association by donating:
________
Raffle Prize(s)
__________
Golf Prize(s)
I will be donating the following items:
______________________________________
______________________________________
______________________________________
_____ I will need Kane County Chiefs of Police Association to pick up my
donation.
My address is: ________________________________
________________________________
_____ I will mail my donation to KCCOPA.
PLEASE MAIL THIS FORM TO
Kane County Chiefs of Police Association, P.O. Box 934, St. Charles, IL 60174
Questions, please call David Kintz at (630)443-3740 or email dkintz@stcharlesil.gov
Kane County Chiefs of Police Association is a 501(c)(3) organization.
Your donation is tax deductible. Tax-exempt: #36-4177115
www.kanecountychiefs.org