Willoughby Rotary Foundation Donation Form

* Name

Donor Name (if different from above)

Donor Organization

Title or Position

Address

City

State

Zip Code

* Phone

* Email

Donation Item(s)

Item Type:

Item

Service

Gift Certificate

Cash (please make checks payable to
      the Willoughby Rotary Foundation)

Description of Auction Item(s) Donated:

Total Value of Donation(s):

Attach Photo, if available, to Form:

Accepted File Formats

Donation Pick Up Arrangements:

Donation already received by Rotary member

Donor will deliver

Auction committee to pick up donation

To pick up, contact
at phone number  

Comments or question

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