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Greetings Rotarians and Friends! In completing the form below,

Please complete the form as if you are the Item Donor.
The Donor name (business or first/last) is very important. Contact information is also important, please try to ensure we have up to date info.
Provide a complete and persuasive description of the item in the "Item Description".
The Foundation's Federal Tax ID Number is 91-1522960

Thank you! Your Escapades Committee

Procurement Form

Item Information

Item Name:*

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Estimated Value $:*

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Please enter a valid decimal number as nnn.nn

Item Description:*

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Additional Information/Item Restrictions:

I am a(n):*

Individual Donor

Business Donor

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I would like to remain anonymous:*

Yes

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Item Type:

Gift Certificate

Merchandise

Services

If Gift Certificate:

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Donor will Send

Rotary to Generate

Item Category:

Procured By (Solicitor/Rotary Member):

Contact Information

Company:*

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First Name:*

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Middle Name:

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Last Name:*

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At least one phone number is required.* Please enter at least one phone number

Mobile Phone:

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Home Phone:

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Work Phone:

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Email:*

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Procurement Form

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