SCI VACATION DONATION

SCI ILLINOIS & CHICAGO CHAPTER

VACATION DONATION FORM
Vendor Name*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Contact Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Trip Description(Information to be Used in Auction Booklet)*
Fair Market Value*
Donation Percentage (or Reserve)*
Number of People Included*
Number of Guides*
Cost per Additional People*
Location of Trip*
Range of Dates Trip Can be Scheduled*
Can Trip be Taken in an Alternate Year? *
Type of Accommodations Included *
What Fees Are Not Included in Donation and What is Their Approximate Cost (i.e, Permits, Transportation, ect.)*
Options That Can be Added (and Cost)*
Please note that the Illinois & Chicago Chapter of SCI reserves the right to exhibit this donation and place it in the Auction program in a manner deemed appropriate by the Auction Committee.
Donor Signature*

Clear
Title*
Date

MonthDayYear
Date
Please complete form and provide any promotional marerials to: mkr1999@hotmail.com

By signing, signatory accepts responsibility for the fulfillment and completion of the terms of this agreement, after acceptance by the SCI Illinois & Chicago Chapter. SCI Illinois & Chicago Chapter (SCI-IL) reserves and retains the sole right to use this donation in the manner in which the SCI-IL Board og Directors deems most benificial to the Chapter.
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SCI ILLINOIS & CHICAGO CHAPTER