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Glorietta Parents’ Club - A Non-Profit Organization
15 Martha Road, Orinda, California 94563
Tax ID # 68-0425890

* Deadline for Early Bird Raffle is Monday, December 12.

* Final deadline is Tuesday, January 31.

* Please use one donation form for each item.

* Please bring any physical items (along with a printout of this form) to the Glorietta Main Office. For large or valuable items that you would like picked up, or if you have any questions, please contact Lisa Karp: (925) 787-7307/stuiekarp@yahoo.com or Molly Johnson: (925) 285-5135/mollycolleenjohnson@yahoo.com.

Thank you in advance for your donation!

Donate An Auction Item

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Please list all donors:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Should we create a gift certificate for your donation?*

Yes

No

Employer or company matching gift:*

Yes

No

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

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Email:*