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					               CAMP SUNRISE INAUGURAL GALA 2012
          SILENT/LIVE AUCTION DONATION RECEIPT FORM


Donated Items/Service (please circle one)                                    ITEM          SERVICE            CASH CONTRIBUTION

Value: $_________ (estimated or real value)
Description of Donation (please be as detailed as possible):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Limitations or Restrictions: (please include expiration date if applicable)
_____________________________________________________________________________________
_____________________________________________________________________________________

Donor’s Name (please print) _____________________________________________________________
Contact Person ________________________________________________________________________
Address ______________________________________________________________________________
City/State/Zip_________________________________________________________________________
Phone________________________________________________________________________________
Fax __________________________________________________________________________________
E-mail _______________________________________________________________________________
Donor’s Signature ______________________________________________________________________

On behalf of Camp Sunrise, we would like to express our gratitude for your tax-deductible gift. Camp Sunrise is a non-profit organization and
we sincerely appreciate your contribution. Please include a business card, brochure, newspaper reviews, photograph, or other information
that we may use to promote your item or your business, to be displayed with your donation, which could optimize the successful sale of your
donation. Camp Sunrise is a 501 (c)3 organization. All donations are tax deductible. Federal Tax ID# 52-0595110.

Donation:             _______Enclosed ______Will be delivered to address below                     _______Needs to be picked up
Gift Certificate      _______Enclosed ______Will be delivered to address below



                Please return this form (keep one copy for your records) with your donation to:
                                            Attention: Michelle Lee
                                      Camp Sunrise, Johns Hopkins Hospital
                                            600 North Wolfe Street
                                                  Blalock 665
                                             Baltimore, MD 21287

                        Please feel free to contact us with any questions at 410-614-3276 or
                                             campsunriseauction@gmail.com.

				
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