Fields marked * require an entry.

ITEM DONATION

To make a donation please complete this form. Donations can be mailed or delivered to:

Bullis-Purissima Elementary School Foundation (BPESF) Auction 2016

102 West Portola Avenue

Los Altos, CA 94022.

Questions? Email:

* This form along with donated items, gift certificates, and/or checks must be received by January 26, 2016 for inclusion in the Auction Preview Catalog and Event Program.

Item Donation

Item Information

Item Name:*

Estimated Value $:*

Name of BCS Solicitor (person who contacted you):

Item Description:*

Restrictions, Conditions, Expiration Date (if any):

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Item or certificate will be mailed.:*

Yes

No

Item needs a certificate made.:*

Yes

No

Pick-up / Delivery

I will deliver on (date):

Please pick-up on (date):

Contact Information

Company:*

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

ITEM DONATION

Item Donation

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