AUCTION IN-KIND DONATION FORM Business Name or Name of Individual Donor _______________________________________________________ Contact Name for Business Listed Above ___________________________________________________________ Circle any that apply: a) Alumnus/a
b) Business/Vendor
c) Current Parent
d) Past Parent
e) Trustee/Former Trustee
Address________________________________________________________________________________________ City _____________________________________ State ____________________ Zip Code __________________ Email __________________________________________________ Phone _________________________________ How would you like to be recognized in the Journal? ________________________________________________ DONATION INFORMATION Description of tangible item or service (Include restrictions, specific use, dates, etc.) _____________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________
Fair Market Value of the Donation $ __________________ (For tax-deductibility purposes) PLEASE CHECK ONE □ Donor to mail/deliver item by: ____________________ (date) □ Gift certificate enclosed. □ No tangible gift certificate enclosed; Loyola should create one for the donor. All donated items become the sole property of Loyola School. All proceeds from the Auction benefit Loyola School. Loyola is a 501 (c)3 tax-exempt organization. Tax ID #13-162-4073 (For office use only) Solicitor Information Solicitor Name _____________________________________________________ Phone _____________________________________________ □ Gift certificate received
□ Item received
□ Create certificate
□ Procurement # _____________ □ Date Entered/Initials __________
Send your completed form with gift(s) to: Address: Loyola School • Office of Advancement • 980 Park Avenue • New York, NY 10028 Contact: Rose Dugan • Email: rdugan@loyolanyc.org • Phone: 646.346.8135 • Fax: 212.879.4864 Donations must be received by April 7, 2015 in order to be included in print and online materials.
On behalf of the 2015 Benefit Gala Committee, thank you for your generous participation! Looking forward to seeing you on May 8, 2015!