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The deadline for item donations is May 15th. We will be contact with you after this form is submitted to get your logo, photo and any other info. Please mail hard copy certificates or other physical items to us at 8838 SE 72nd Place Mercer Island, WA 98040. Questions? Email us at jill@fam177a1.org.

ITEM DONATIONS

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

Item restrictions and expiration date?*

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

How will you be providing the item or certificate?

Email a certificate to jill@fam177a1.org

Mail a hard copy certificate to 8838 SE 72nd Place Mercer Island, WA 98040

I need FAM177A1 to make a certificate for me

Let's coordinate a pick up of my physical item.

FAM JAM Committee Connection?

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

At least one phone number is required.*

Mobile Phone:

Work Phone:

Email:*

ITEM DONATIONS

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ITEM DONATIONS

Thank you to our generous sponsors for making this night soar!

About Us

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