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Big Green Benefit Donation Form

* - required field

* Indicates required field

Donor Name or Company (to appear in the auction program) *

Contact Name *

Email *

Phone Number *

Address *

Line 1

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City

State

Zip Code

Country

Item Description *

Item Value *

Pickup & Delivery Options *

I will contact you when it's ready to pick up I will mail the item to PO Box 7725 Eugene, OR 97401 Please create a gift certificate Other (see below)

Comments/Special Instructions *

Board Member/Solicitor (if none, write NA) *

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