FICPA SF Gift Basket Challenge Participation Form

Silent Auction Donation Form
Company Name *
File Upload

Please upload donor company logo for the website.
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Contact Name *

First Name Last Name
Contact Email *
example@example.com
Contact Phone Number *
Company/Contact Street Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Donation description or title, if known at this time.
Estimated value of the item(s):
Event item(s) is donated for:
Please review the event dates on our website for more information as to drop off deadline.
Donation must be received prior to the event date: *
Mail or drop off silent auction donation to: 135 W. Central Blvd., Suite 1140, Orlando, FL 32801
Comments
By signing, we are confirming participation in the silent auction and will provide our item(s) by the deadline. *

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FICPA Scholarship Foundation is a 501(c)(3) nonproft organizaton.Your donaton is tax-deductible to the extent allowed by law. You will be sent a receipt for the fair market value of your item for tax purposes.
Should be Empty:

Silent Auction Donation Form