2016 NAMI CCNS Spring Gala – Auction Donation Form

Making Stigma Disappear

NAMI CCNS Gala April 16, 2016

Auction Donation Form
* Download the PDF here and mail or bring in with your donated item *

Company/Donor (Please list name as you prefer for the donor listing) __________________________________________
Contact Name __________________________________________
Address City, State, Zip __________________________________________
Telephone __________________________________________
Fax __________________________________________
Email __________________________________________

Description of donated item Please specify, in the description, any restrictions such as blackout or expiration dates, if applicable.

Value: Solicited by

To guarantee your donor listing, please respond no later than March 16, 2016

Please send items or certificates directly to:
8324 Skokie Boulevard
Skokie, IL 60077
Or fax 847-716-2253

Thank you for your generosity!

NAMI CCNS is a non-profit 501(c)(3) organization (tax ID# 36-3714540).
Contributions are tax-deductible to the full extent allowed by law.

NAMI Cook County North Suburban is a 501(c)3 organization as determined by the Internal Revenue Service — Gifts are tax-deductible to the full extent allowed by law. Please consult your tax advisor and keep this written acknowledgment of your donation for your tax records.

Questions regarding this contribution, contact Sue Ockerlund, at 847-716-2252 or susanockerlund.namiccns@gmail.com

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