Chips in for Excellence!!

 

Event Benefits the students of:

 

Todd Academy, Inc.

302 N. East Street

Indianapolis, IN 46202

Phone: 317-636-3100

Fax: 317-636-3103

 

 

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If you would like to donate an item to be auctioned at our "Chips in for Excellence" fund-raising event on January 15, 2010, please fill out the following form and submit it. We will have a volunteer call you to set up pick-up or delivery. Thank you so much for your support of our students.

Name:

Company Name:

Address:    

City:    State: Zip Code:

Phone: Ext.:   Cell:

E-mail Address:

Donation Description:

Estimated Value:    Would you like to upload a photo? Yes  No

If you have selected yes, we will e-mail you a link to upload the photos.

Would you like to receive a receipt for your tax-deductible contribution? Yes No

Do you have a second item to donate: Yes No

Will you deliver your donated item or would you like us to pick it up? Delivery When:

Pick-up? Directions:

Have you purchased your tickets to "Monte Carlo Night" for Chips in for Excellence? Yes No

Thank you for your kind and generous support.