2010 Raise a Hand for Annika
Donation Certificate

Donor Name:* Phone:*

Company: Email:

  Person to be acknowledged:

  Address:*

  City:*    State:*   Zip:*

Detailed description of item (used to write program description):*

Retail Value of Item* : $ Expiration Date (if applicable):

Send items to: 130 Funston Ave, San Francisco CA 94118 Phone: 415-387-3445

Gift Certificate Mailed to above address
Gift Certificate to be created by AKS Foundation
Item(s) to be delivered to AKS Foundation on (date):
Item(s) needs to be picked up on (date):

Signature of Donor: ______________________________________ Date:_____________

Solicitors Name: Phone:

Submit this form: or reset this form:

OFFICE USE ONLY

THANK YOU _____________________ CATEGORY/#________________
SILENT __________________________ LIVE________________________
DATABASE______________________ MINIMUM BID_______________
ADVERTISMENT__________________

2010 Raise a Hand for AnnikaDonation Certificate

2010 Raise a Hand for Annika
Donation Certificate