CD2008 Raffle Prize Donation Form

Chamber Day 2008 - Wednesday, May 7th
Raffle Prize Donation Form

Instructions: Fill in your name and e-mail information at the top of the form and then fill in the information below. Any field with an "*" next to it is required. Thank you. Name and E-mail of Person Filling in Form:
*Name:**
*E-Mail:**
Company and Donation Information:
*Company Name:**
*Contact Person:**
Title:
*E-Mail:**
*Address:**
*City:**
*State/Prov:**
*Postal Code:**
Country:
*Phone Number:**
*Web Link:**
Raffle Prize Donation(s): If more than five different items are being donated enter additional information in the comments section.
Donated Item #1
*Description:**
*Number Donated:**	*Retail Value: $ each**
Donated Item #2
Description:
Number Donated:	Retail Value: $ each
Donated Item #3
Description:
Number Donated:	Retail Value: $ each
Donated Item #4
Description:
Number Donated:	Retail Value: $ each
Donated Item #5
Description:
Number Donated:	Retail Value: $ each

Comments:
Before hitting the SUBMIT button PRINT a copy of this page for your records.