Form

Donor(s):

Address:

Phone:

Company contact:

Donor(s) to be listed in program as:

Item Description:

Special Instructions/Restrictions:

*Please include expiration dates, limitations, quantities, brands, sizes, class of travel, minimum bid if desired or any other information about the item that may be helpful.

Estimated retail value:

Delivery:

Delivered to St. David\'s Center Request pick up by volunteer

Federal Tax ID #: 41-1429208

Thank you! Your donation is tax deductible. You will receive a receipt for tax purposes.

Questions? Contact Layne Trout at ltrout@stdavidscenter.org or (952)548-8627.