Auction & Raffle Merchandise Fact Form

Fields marked with an * are required.

Desired Event

* Event:

Donor Information

* Donor:
  *How would you like your name listed in the program?:
 

Other:

* Address:
* City, State ZIP : ,
* Contact Person for Donation:
* Contact Phone:
* Contact E-mail:


Note: A confirmation of your donation will be sent to this e-mail address.

* Would you like to receive future solicitation via e-mail?:
 

       

   

Donation Information

* Item:
* Estimated retail value: (Ex: $1,000, priceless)
* Description (for the program) or list details:
Special instructions (optional):
   

* Please choose one of the following options:

 

Zoological Society of Milwaukee
10005 W. Blue Mound Road
Milwaukee, WI 53226
 
Use address listed above:
Pick-up location:
 
Expiration date:
Today's date:

Initials:
(To grant permission)

* Security Code : To help us combat spam, please type the text below that you see in this image:
Security Text
Text :
   

 

Questions? Contact Special Events at (414) 258-2333 or e-mail specialevents@zoosociety.org.

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