DONATION FORM - PatientPop
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23rd Annual Holiday Toy Event 1009 N. Avalon Wilmington CA, 90744
Holiday Toy Event Donation Form
□ YES! I will make a donation to the 2020 Annual Holiday Toy Event!
COMPANY/DONOR NAME
(as you want to be listed):
Contact Person:
ADDRESS:
City: State: Zip:
Phone: Fax:
EMAIL:
ITEM DESCRIPTION:
PAYMENT:
□ CHECK □ MASTERCARD □ VISA □ AMERICAN EXPRESS □ DISCOVER CARD
CREDIT CARD # __________________________ EXPIRATION DATE ________ SEC. CODE______
Approximate Value of Donation: $ (VALUE REQUIRED to determine minimum bid)
Please check one: □ Donation enclosed □ Donation to be picked up
□ Donation to be delivered □ Please create a certificate
□ I am unable to participate as a sponsor, but would like to support the Clinic’s work.
Please accept my 100% tax-deductible contribution of $
Please mail to: Wilmington Community Clinic
Holiday Toy Event
1009 N. Avalon Blvd.
Wilmington, CA 90744
You may also email this form to: wramirez@.
If you have any questions please contact Wendy Ramirez, Health Educator, at 310-549-5760 ext. 189.
All donations are tax-deductible. Tax ID# 95-3137803
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