In Kind Donation Form Page 2

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Golfer Goodie Bag Items and Golfer Raffle/Door Prize
Items are needed for Take A Swing Against
Sexual Assault Charity Golf Outing
K C
CASA
Auction items are needed for the
Moxie on the Mound Dinner & Silent Auction
In Kind Donation Form
Type of Item(s) Donated:
___ Auction Item
___ Golfer Bag Item (125 needed)
___ Golfer Raffle Item
Company: _________________________________ Contact: __________________________________________
Address:_______________________________ City/State/Zip: _________________________________________
Phone/Fax:_____________________________ Email:__________________________________________________
Item(s) Donated:________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Description of Item(s):
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
Donation Value: $ ______________
___ Donor will deliver by 9/18/15 ____ Item will be picked up by KC-CASA
Forms are due 9/4/15 to KC-CASA Fax: 815.932.7298 Email:
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KC-CASA
1440 W. Court Street Kankakee, IL 60901
815.932.7273

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