Quarter-Rama Donor Form
Please complete this form and submit to Childhood Cancer Foundation of Southern California (CCFSC) by March 25, 2026 in order to be acknowledged in print at the event, otherwise all item donations are welcome until the day of the event.
Donor Name
*
Please print business or individual name exactly as it should appear in printed material
Contact Person
*
First Name
Last Name
Title
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Website
www.abc.com
Instagram
Facebook
Upload your logo for print recognition.
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Donation Details
Description of Item
Special Instructions/Restrictions/Exclusions
Estimated total value of items to be donated (Enter $ amount)
*
Expiration Date
*
Blackout Dates
*
Donation Certificate
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Are you providing a digital Gift Certificate? You can upload the file here.
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CCFSC will provide a non-profit receipt and tax number ID upon request for your donated items.
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