EmailMe Form -

Contact or Donor Name: *

First Last

Business Name

If applicable

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Web Site

Email *

Donation Value $ *

Name of Item: *

Expiration Date/Limitations/Conditions:

All items expire March 4, 2018 unless otherwise stated.

Please check all that apply regarding your donated item: *

Enclosed

Item will be sent to the Kiddo! Office

Please create gift certificate for me

I will be sending display materials

Please pick up - fill out detailed instructions

Other - please explain in item pick up instruction box below

Detailed Instructions for Pick Up or Other -

Please provide address, contact name, number and any other details regarding item.

Description and Item Details *

Please include all descriptive information you would like to include in the item listing.

By donating, you are acknowledging that items may be sold on line, or at the event in either the silent or live auction, and could be packaged with other items. They will be handled in a manner that will generate the most value for the bidder and Kiddo!.

Typed Signature *

Kiddo! is a tax exempt 501 (c)3 organization. Your donation is a tax deductible to the extent allowed by law. Please use our legal name, Mill Valley Schools Community Foundation, when itemizing donations. Tax ID 942848305

Forms received after 1/31/17 will not be included in the main catalog, but will be included in the addendum.

Date *

MM / DD / YYYY