In-Kind Donation Form

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Please complete this form if you wish to donate an item in-kind for the Chance or Silent Auction or the Wine & Whiskey Pull for the Brookhaven Wealth Management Charity Golf | Tennis Classic & Fundraiser, hosted by the Cardinal Rock Charitable Foundation, benefitting Visiting Nurse Health System | Hospice Atlanta's Camp STARS. If your item can be mailed please feel free to send it to Cardinal Rock Charitable Foundation, 4062 Peachtree Rd NE, Suite A-208, Brookhaven, GA 30319. If you'd like to have your item be picked up or if emailing a certificate please contact Sue Griffin 404-276-7576, sue.griffin@traveledge.com or Barry Koch 404-510-4389, bkoch76@gmail.com.

Thank you for your support. Your contribution is tax deductible to the extent allowed by law. Cardinal Rock Charitable Foundation Tax ID-83-1418750. Deadline for donation of items is June 7th, 2021.

Donor Name *

Title *

Business or Company Name (if applicable)

Address, City, State, Zip Code *

Phone number *

Email *

Social Media *

Item You Wish to Donate. *

Bottle of Wine (Value must be at least $35)

Bottle of Whiskey (Value must be at least $50)

Gift Certificate

Other:

Required

Describe your item (Be Specific). Please include any expiration dates and/or restrictions or email Sue Griffin or Barry Koch additional document with information).

What is the $ value of your donation? *

Will you mail the item or prefer it be picked up *

I will mail the item

Please pick up the item(s). Please enter pick up by date in "Other" below

Other:

Required

Contact person information (Name, email or cell) for obtaining the item if different than donor.

Submit

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