DONOR FORM
Washington Chapter APA - 2022 Student Scholarship Auction, October 12, 2022
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1.  Donor (person/firm who should receive tax donation document)

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2.  Donor Address (City State, ZIP)

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3.  Donor Email

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4.  Donor Telephone #
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5.  Donor Contact (if different than Donor)  

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6.  Donor Contact Address (City State, ZIP)

 

 

 

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7.  Donor Contact Email
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8.  Donor Contact Cell Phone #

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9.  Donor/Donor Contact is from which APA WA Chapter Section? *

10.  Item/Service Donated

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11.  Description of Item / Service  (Please also provide a high quality photograph of the item/s and any other specific marketing information, e.g., what are the items in the basket; what does the house look like, etc.?  Send photo to Steve Butler at SButler@mrsc.org)

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12.  Purchase Value of Item

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13.  Is there a required minimum value (below which the item should be pulled and returned)?  Please list, if so.

The opening bid will be determined by the Chapter’s Student Scholarship Auction Committee.

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14.  Will you bring the item to the auction or do you need a pickup?

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