Sequim Wheelers – 2027 Donation Form
Support Sequim Wheelers by contributing to our 2027 event. Please complete all sections and return your donation with this form by February 20, 2027. Fed Tax ID: 82-3551864 • Your donation may be tax deductible • Check with your tax advisor.
Sequim Wheelers Leaving a Legacy
PO Box 1852 • Sequim, WA. 98382 • Tel: 206-769-5323
Wheelers Fed Tax ID: 82-3551864
Wheeler Representative
First Name
Last Name
Address
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Donor Name
*
First Name
Last Name
Donor Business Name
Telephone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Donor Address
City
State
ZIP
Item Name
*
Donor-Estimated Value ($)
*
Item Description (quantity, size, color, number of persons, duration, restrictions)
*
Donor Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Item accompanied form
Item accompanied form
Donor provides Certificate
Donor provides Certificate
Item needs to be picked up
Item needs to be picked up
Committee to create Certificate
Committee to create Certificate
Delivery of item by Donor
Delivery of item by Donor
Promotional material provided by Donor
Promotional material provided by Donor
Tracking Number (for office use only)
Notes (for office use only)
Submit Donation
Submit Donation
Should be Empty: