800 College Avenue, Weed, CA 96094 ~ (530) 938-5373 ~ Fax (530) 938-5570 ~ foundation@siskiyous.edu
Auction/Gift-in-Kind
Donation Form
Please print all information clearly Date:
Contact Person at Business:
Phone: Fax:
Email:
Donor Name to appear in printed materials:
Donor Name to appear on Thank You:
Address:
City: State: Zip:
Business Card or Brochure for auction display. If available, attach to this form.
Check if visual must be returned.
Donation Value $ (Must be completed for tax purposes)
Category of item (check one)
Business provided gift certificate COS Foundation created gift certificate
Travel/Vacation Home Wine Other item:
Description of item for publication. Please be specific and complete. List restrictions.
Pick-up instructions if item is not turned in with this form:
Contact: Dawnie Slabaugh
Phone: (530) 938-5373 Fax: (530) 938-5570 Email: foundation@siskiyous.edu
Return this completed form
to:
College of the Siskiyous Foundation, 800 College Ave., Weed, CA 96094
Tax ID #94-3146801