16th ANNUAL BLUE WATER BALL DONATION FORM DONOR CONTACT INFORMATION DONOR/BUSINESS NAME: CONTACT NAME & TITLE: ADDRESS: CITY/ZIP: PHONE: _____________________________ EMAIL: FAX: ________________________________ 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 this form to: Santa Barbara Channelkeeper, 714 Bond Ave., Santa Barbara, CA 93103 Or email to: morgan@sbck.org 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 #91-2151460 Your donation may be tax deductible.