SUCCESSFUL JOCKS & THE WOMEN BEHIND THE UNIFORM: ESSAY CONTEST PRIZE DONATION FORM

Successful Jocks is soliciting donations of prizes for the winners of our College Tech essay contest. Prizes may include but not limited to: laptops, I-pads, tablets, and printers. SJ is extremely grateful for any tax deductible items donated and/or monetary gifts, as technology tools are essential to a new college student but can be costly to purchase. Successful Jocks is a 501(c)(3) exempt organization. E.I.N. # 81-XXX0827

Email address

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Personal Information

Name of person donating

Name of company donating (if applicable)

Phone number

Address

Monetary donations

Prize levels

Please select all that apply.

Platinum ($2500) Gold ($1500) Silver ($1000) Bronze ($500) $100 $0

Payment

Platinum ($2500) Gold ($1500) Silver ($1000) Bronze ($500) 100 dollar ($100) 0 ($0)

Amount

Items donated

Number of donated items

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none 1 2 3 or more

Description of items donation

Total value of donated item(s)

Delivery of donated items

How will your donation be delivered to SJ?

Please select one option.

In person Mail (please send to: P.O. Box 381249 Clinton twp, MI 48038 Pickup location Other N/A

Details regarding delivery of items

Disregard this form if donating by check. Send written response and check made payable to Successful Jocks to: Successful Jocks P.O. Box 381249 Clinton Twp, Mi 48038

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

SUCCESSFUL JOCKS & THE WOMEN BEHIND THE UNIFORM: ESSAY CONTEST PRIZE DONATION FORM

Description

Please Fix the Following