Zoo Ball Auction Merchandise Fact Form

Fields marked with an * are required.

Donor Information
* Donor:
Firm:
* Address:
* City, State ZIP : ,
* Phone:
   
Donation Information
* Item:
* Estimated retail value: $
* Description (for program):
Special instructions:

* How would you like your
name listed in the program?
   
Delivery Method (select one)

Zoological Society of Milwaukee
10005 W. Blue Mound Road
Milwaukee, WI 53226
Pick-up is requested:
Contact:
Phone:
Pick-up location:
Please prepare a gift certificate:
Expiration date:
Today's date:

Initials:
(To grant persmission)

   

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