raffle prize donation form
Transcription
raffle prize donation form
TICKET ORDER FORM SISTER CITIES OF LOS ANGELES, INC. 2011 FUNDRAISING PARTY A Celebration of Los Angeles in the ‘60s Featuring a Salute to The Beach Boys THURSDAY, JUNE 9, 2011 5:30pm-10pm THE GILMORE ADOBE AT FARMERS MARKET, LOS ANGELES All tickets will be held at will-call at the Gilmore Adobe Check-In Tables Individual Tickets @ $60 each Total $ Blocks of 10 Tickets @ $500 each Total $ Print the Names of your Guest(s) Below: My enclosed check is payable to SISTER CITIES OF LOS ANGELES, INC. (501c3 Federal Tax ID 95-4349027) Please charge my MasterCard Visa Card # Expiration Date First Name Last Name Street Address City State Telephone (home) (business) Zip Code E-mail address CREDIT CARD ORDERS: Please FAX completed form to 213-624-7810 or mail to address below. ORDERS PAID BY CHECK: Please mail completed order form and check to: SISTER CITIES OF LOS ANGELES, INC. c/o Tom LaBonge, Councilmember 4 th District 200 N. Spring Street, Room 480, Los Angeles, CA 90012 You will receive a confirmation of your ticket order by phone or email. Questions? Contact Kamilla Blanche at (213) 978-0638 or email [email protected] Sponsorship Opportunities Applications are available online at www.SisterCitiesofLA.com Or email Annet Peairs, Roland Communications at [email protected] RAFFLE PRIZE DONATION FORM SISTER CITIES OF LOS ANGELES, INC. 2011 FUNDRAISING PARTY A Celebration of Los Angeles in the ‘60s Featuring a Salute to The Beach Boys Thursday, June 9, 2011 5:30pm-10pm The Gilmore Adobe At Farmers Market, Los Angeles YES, I want to donate a Raffle Prize to the Sister Cities of Los Angeles 2011 Fundraising Party featuring a salute to The Beach Boys on Thursday, June 9, 2011. My Prize is described below. NO, I cannot donate a Raffle Prize but please accept a tax-deductible donation (Payable to Sister Cities Los Angeles, Inc.) $ Description Of Raffle Prize Value (approximate) $ Sister Cities of Los Angeles (501c3 Federal Tax ID 95-4349027) Name Of Donor Contact Person Street Address City Phone State Fax Zip E-Mail Is your Raffle Prize a “tangible prize” or a certificate ? How will your actual gift/certificate be submitted? I will mail or deliver the Raffle Prize/Certificate before June 1 to: Sister Cities of Los Angeles, Inc. 200 N. Spring Street, Room 480, Los Angeles, CA 90012 Please create a certificate from the text I submitted. Please contact me to pick up the gift. Please Fax Completed Form to 818-763-2113 Questions? Please contact Kamilla Blanche at 213-978-0638 or email her at [email protected] The Office of Councilmember Tom LaBonge, 4th District `