TFA Door Prize Contribution

In keeping with the TFA Annual Conference tradition, we are asking you to contribute an item for the 2007 door prize drawing.  Contributions need not be extravagant.  Items representing your agency and/or your location are greatly appreciated.  If you have any questions, please don't hesitate to contact the TFA Office at 804.632.0155.
All donations are fully tax deductible as a charitable contribution.

Please return this form by September 1, 2007

Agency Contact Information

Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
URL

DONATION INFORMATION

Item Description:


Estimated retail value:


Shipping Instructions (please choose one):


Thank you for your support.  All contributions are fully deductible as a charitable contribution!

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Revised: 12/11/06
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