|
Baxter
Hill Community Hall
1770 Baxter Rd ® Salem OR 97306
Donation
Coordinator: Ed Merzenich fax: 503-370-8710
www.BaxterHillCommunityHall.org ®
BaxterHillCommunityHall@yahoo.com
DONATION FORM
PLEASE PRINT CLEARLY
|
Committee Contact
|
|
NAME
|
DATE
|
|
|
|
Donor Information
|
|
DONOR NAME (as to appear on
website)
|
TELEPHONE OTHER
TELEPHONE
|
COMPANY NAME
|
EMAIL FAX
|
DONOR ADDRESS
|
CITY
STATE
ZIP
|
|
|
|
Item Information
|
(i.e. materials,
volunteer work)
|
ITEM NAME
|
VALUE (as estimated by donor)
|
DESCRIPTION (Please include
quantity, size, # of persons, weeks, days/nights and ALL RESTRICTIONS)
|
ITEM INFORMATION (Indicate how
and when we will receive the item)
|
WHO SHOULD THE COMMITTEE
CONTACT FOR MORE INFORMATION ON HOW TO PROCURE THE ITEM OR COORDINATE
VOLUNTEER WORK?
|
DONOR SIGNATURE
|
DATE
|
THANK YOU!
|
£ Please keep my
donation anonymous
|
|
|
|
|
|
Financial Donation
|
|
Donation Amount $ ________________________
|
£ Check (Make Payable to: Our
Savior’s Lutheran, Memo: Baxter Hill
Community Hall)
£ Please
bill me at the address provided above
|
OSL Federal Tax ID
#93-0507330. The fair market value of
your donation may be tax deductible. Check
with your tax advisor.
|
