OMNI DALLAS HOTEL
BENEFITING GRANT HALLIBURTON FOUNDATION
RAFFLE DONOR CONTRACT
Company Name/Contributor
*
Name of donor as it should appear in program.
Contact Name
*
Address
*
Street Address
Street Address Line 2
City
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
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District of Columbia
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State
Zip Code
Phone
Email
*
example@example.com
Item Donated
*
Description and/or restrictions of donation:
Value:
*
Type of Donation
*
Physical Item
Travel
Gift Certificate
Delivery Method
*
I will drop item off
Mail to Grant Halliburton Foundation
Pickup needed (someone will contact you to coordinate)
Email
For gift certificate donations, please choose one:
I will provide certificate
Please create certificate for my approval
Donor Signature
*
The undersigned hereby donates the items described above to the Grant Halliburton Foundation, a 501(c)(3) organization. Donations to the luncheon and raffle are tax-deductible to the extent allowed by law. TAX ID #20-5643050
Date
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Month
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Year
Date
Solicitor Name
Solicitor Phone Number
Thank you for your contribution!
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