Spirit Day 10/03/2020 CANCELED- Donation Response Form
Event Timing: Saturday, October 03, 2020, 9:00 a.m.-1:00 p.m.
Event/Mailing Address: 2500 N. Annie  Glidden Rd. Suite C DeKalb, IL 60115
Contact- Brianne Wackerlin- phone (815) 217-0464 Email- bwackerlin@dekalbcounty.org 
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Business Name *
Email *
Address
Phone Number
Contact Name *
Contribution Type *
Required
Donation Item *
Required
Date Ready for Pick-up (If needed). *
MM
/
DD
/
YYYY
If providing bottled water,  how much will be provided? (200-300 guests are expected)
If providing food,  what type of food and how much will be provided? (200-300 guests are expected)
If providing gift basket, gift certificate, or grand prize, please describe.
If providing a gift certificate:  Do you permit the ROE to combine your donation with other donations, if needed?
Health and/or wellness informational presentation or service title.
Health and/or wellness informational presentation or service time. (choose all that apply)
Presentation needs. (choose all that apply)
Other- please describe
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