KC Does NEW ORLEANS
2001 Fund Raising Event
On Thursday, February 22, 2001 • From 6 - 9 P.M.

•• DONATION FORM ••
MERCHANDISE INFORMATION

NAMI-KC is a Not-For-Profit Organization

Your gift may be tax deductible.
Deadline: February 9, 2001
Donated items will be accepted up to the time of the event.
Items received after the February 9th deadline will not be listed in the
French Market Auction Program.

Name/Business (as it should appear)______________________________________________________________________

Contact Name (if different from above)____________________________________________________________________

Address (City/State/Zip)________________________________________________________________________________

Phone___________________________________________ Fax__________________________________________________

Gift Item Name___________________________________________________Estimated Value $_______________________

Gift Item Description
(Please specify description for program. Include any restrictions, etc.)______________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

Do you require a TAX RECEIPT? Yes No Tangible Item
Gift Certificate NAMI-KC to prepare Gift Certificate

Donor Signature_________________________________________________________________________________________

Title__________________________________________________Date_____________________________________________

If the donated item needs to be transported from the donor to NAMI-KC, the individual who contacted
the donor shall arrange this transportation.
Donated items need to be in NAMI-KC offices no later than 5:00 P.M., Friday, February 16, 2001.

For Office Use Only:

Volunteer Contact
Telephone
Notes
Thank You
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