BICYCLE COALITION OF GREATER PHILADELPHIA AUCTION DONATION FORM
Please return via email to [email protected], or mail or fax to Attn: Development Department at the contact information below
PLEASE PROVIDE DONOR INFORMATION
Donor/Organization Name: _______________________________________________________________________________
Contact Name (if different from above): _____________________________________________________________________
Street: _________________________________________________________________________________________________
City, State: ________________________________________________________________ Zip: _________________________
Phone: ___________________________________________________ Fax: _________________________________________
E-Mail: _________________________________________________________________________________________________
Web Address: ___________________________________________________________________________________________
PLEASE PROVIDE DONATION INFORMATION
Item: __________________________________________________________________________________________________
Description: ____________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Restrictions: (if any, e.g., “For 6 people”, or “Tues. through Thurs. only”, “Does not include tax or tip”, expiration date, etc…)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Value of Donation: $ _______________________
Suggested Minimum Bid: $__________________
My donation: Needs to be picked up____
Gift Certificate:
Is enclosed with this form ____
Accompanies this form ____
Will be delivered to your offices ___
This Form can be used as official certificate ____
Signature: _____________________________________________________________________________________________
Our event will take place on September 29, 2016 at Front and Palmer, 1750 N Front Street, Philadelphia PA 19122
THANK YOU for your contribution to The Bicycle Coalition of Greater Philadelphia
The Bicycle Coalition is a 501(c)(3) non-profit organization. Donations are tax deductible to the extent permitted by law.
1500 Walnut Street, Suite 1107 Philadelphia, PA 19102
P:215-BICYCLE
WWW.BICYCLECOALITION.ORG
F:267-909-8726